Biomarkers in adult spinal deformity surgery

Q4 Medicine
Winward Choy , Tej D Azad , Justin K Scheer , Michael M Safaee , Christopher P Ames
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引用次数: 0

Abstract

Outcomes following adult spinal deformity (ASD) surgery vary, despite technical advances and improved patient selection. Current prediction models, comprised of clinical and radiographic parameters, do not fully explain observed variation in patient outcomes. Objective biomarkers have fundamentally improved prediction, prognostication, and risk-stratification in other disease states and warrant further exploration in the care of ASD patients. In this review, we provide an overview of the need for objective biomarkers in the management of ASD. We detail advances in biomarker development for patient frailty, biological age, sarcopenia, bone quality, and nutritional status and consider how these biomarkers might be integrated into the management of ASD patients.

成人脊柱畸形手术中的生物标志物
成人脊柱畸形(ASD)手术后的疗效各不相同,尽管技术不断进步,患者选择也有所改善。目前由临床和放射学参数组成的预测模型并不能完全解释观察到的患者预后差异。客观生物标志物从根本上改善了其他疾病的预测、预后和风险分级,值得在 ASD 患者护理中进一步探索。在本综述中,我们概述了在 ASD 治疗中对客观生物标志物的需求。我们详细介绍了针对患者虚弱程度、生物年龄、肌肉疏松症、骨质和营养状况的生物标志物开发进展,并探讨了如何将这些生物标志物纳入 ASD 患者的管理中。
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来源期刊
Seminars in Spine Surgery
Seminars in Spine Surgery Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
53
审稿时长
2 days
期刊介绍: Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.
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