Spine deformity最新文献

{"title":"Concurrent validity of PROMIS metrics with the EOSQ-24 in early onset scoliosis.","authors":"Karina A Zapata, James J McGinley, Chan-Hee Jo, Brandon A Ramo","doi":"10.1007/s43390-025-01116-w","DOIUrl":"https://doi.org/10.1007/s43390-025-01116-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the concurrent validity of 3 Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric metrics (Mobility, Pain Interference, and Anxiety) in Early Onset Scoliosis (EOS) by using the 24-item EOS Questionnaire (EOSQ-24) as an anchor.</p><p><strong>Methods: </strong>We retrospectively reviewed PRO data of children with EOS from April 2021 to June 2023. PROMIS Pain Interference, Mobility, Anxiety, and EOSQ-24 were simultaneously completed. Comparisons were made according to each EOSQ-24 domain with Pearson correlations. Correlations above 0.7 indicate a strong relationship, 0.4 to 0.69 indicate a moderate relationship, and 0.1 to 0.39 indicate a weak relationship.</p><p><strong>Results: </strong>236 children (84 boys, 152 girls) ages 10.4 ± 3.5 years (range: 5-19 years) with curves averaging 39° ± 22° were included. The strongest correlations between the 3 PROMIS metrics and each EOSQ-24 domain were between Mobility and EOSQ-24 Physical function (r = 0.75, p < 0.001), Pain Interference and EOSQ-24 Pain/discomfort (r = -0.68, p < 0.001), and Anxiety and EOSQ-24 Emotion (r = -0.51, p < 0.001). The weakest correlations between all 3 PROMIS metrics and each EOSQ-24 domain were for General health (r ≤ 0.35, p < 0.001), Financial impact (r ≤ 0.36, p < 0.001), and Pulmonary function (r ≤ 0.39, p < 0.001).</p><p><strong>Conclusion: </strong>The 3 PROMIS metrics (Mobility, Pain Interference, Anxiety) demonstrate moderate to strong validity with the related EOSQ-24 domains (Physical function, Pain/discomfort, Emotion). The weak associations between EOS-specific concerns demonstrate diverging constructs. This study supports the use of the EOSQ-24 given the adequate associations with the appropriate domains while highlighting the value of other EOSQ domains.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial, ethnic and socioeconomic disparities in healthcare for adult spinal deformity patients.","authors":"Joseph E Nassar, Michael J Farias, Manjot Singh, Andrew Xu, Lama A Ammar, Mohammad Daher, Ashley Knebel, Bassel G Diebo, Alan H Daniels","doi":"10.1007/s43390-025-01118-8","DOIUrl":"https://doi.org/10.1007/s43390-025-01118-8","url":null,"abstract":"<p><strong>Background: </strong>Racial and ethnic disparities in healthcare access remain underexplored among adult spinal deformity (ASD) patients in terms of cost related and non-cost related barriers to care.</p><p><strong>Methods: </strong>This cross-sectional study analyzed healthcare access and utilization survey data from the National Institutes of Health's All of Us Research Program (May 6th, 2018-January 30th, 2025). The participants included adults aged ≥ 40 years with spinal deformity enrolled online or through partner organizations across the US. The cost and non-cost barriers to health among ASD patients by race and ethnicity were reported. Multivariate logistic regressions were used to analyze the relationship between race and ethnicity and experiencing barriers to care.</p><p><strong>Results: </strong>This study included 7272 ASD patients of which 5635 were White (74.5%) (median age, 69 years [IQR, 60.0-75.0]), 535 Hispanic (7.4%) (60.0 years [51.0-68.0]), 538 (7.4%) Black (61.5 years [52.0-69.0]) and 564 (7.8%) of other race and ethnicity (65.0 years [55.0-74.0]) of whom 528 (7.3%) proceeded to undergo correction surgery. Compared to White patients, Black patients had higher odds of reporting delayed general care (adjusted odds ratio [aOR, 2.5; 95% CI 1.7-3.8), follow-up care (aOR, 1.6; 95% CI 1.1-2.3), and prescription filling (aOR, 1.5; 95% CI 1.1-1.9) due to cost. Non-cost barriers for Black patients included lack of transportation aOR, 3.2; 95% CI 2.3-4.3) while Hispanic patients had higher odds of reporting delayed care due to childcare (aOR, 2.9; 95% CI 1.5-5.5) and care to an adult (aOR, 1.8; 95% CI 1.0-3.3) responsibilities. Black and Hispanic patients had higher odds of placing importance on having a provider with a similar background (aOR, 2.4; 95% CI 1.9-3.0; aOR, 3.1, 95% CI 2.4-3.9) and of never having had such a provider (aOR, 4.6; 95% CI 3.2-6.6; aOR, 3.1, 95% CI 2.4-3.9), respectively. They also had higher odds of reporting delayed care due to provider background differences (aOR, 1.9, 95% CI 1.4-2.4; aOR, 1.6, 95% CI 1.2-2.2), respectively. Additionally, Hispanic patients had higher odds of reporting not being treated with respect by their provider (aOR, 1.6; 95% CI 1.0-2.5).</p><p><strong>Conclusions: </strong>Racial and ethnic disparities significantly impact ASD patients with Hispanic and Black patients facing higher rates of cost and non-cost barriers to care. The healthcare practitioners especially those specializing in ASD play a crucial role in recognizing and addressing these disparities to improve healthcare access and outcomes across racial and ethnic groups.</p><p><strong>Level of evidence: </strong>Prognostic Level III.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of early-onset scoliosis: modern Luque trolley technique led to fewer reoperations within 3 years than other growth-friendly techniques, a prospective cohort study with matched historical controls.","authors":"Romain Dayer, Michael Grevitt, Lee Breakwell, WaiWeng Yoon, Maio Chen, Tiara Ratz, Tina Szocik, Yaner Y Zhu, Jean Ouellet","doi":"10.1007/s43390-025-01102-2","DOIUrl":"https://doi.org/10.1007/s43390-025-01102-2","url":null,"abstract":"<p><strong>Purpose: </strong>Management of early-onset scoliosis (EOS) remains challenging with high reoperation rates. The modern Luque trolley technique (MLT) was developed to reduce open lengthening and complications. This study aimed to compare the reoperation rates between the MLT and other growth-friendly surgical techniques.</p><p><strong>Methods: </strong>Prospective EOS patients were recruited and treated with MLT; matched historical controls were selected from the Pediatric Spine Study Group (PSSG) database. The primary objective was to test if within 3 years of surgery MLT patients would have fewer reoperations. Secondary outcomes were growth, curve correction, and quality of life using the 24-item early-onset scoliosis questionnaire (EOSQ-24). Safety analysis was performed for the MLT patients.</p><p><strong>Results: </strong>MLT (N = 18) and control patients (N = 43) had similar baseline age, body measurements, etiology, Cobb angle, and spinal length. Within 3 years of surgery, 1/18 MLT patients required a reoperation compared with 30/43 controls, conditional Poisson regression rate ratio = 0.02 (95% CI 0; 0.12) (P < 0.001). The median time to first reoperation was MLT, 5.4 years and control, 0.8 years. The MLT achieved the same curve correction as the controls at 3 years. The total spinal growth (T1-S1) was similar between the groups, although the thoracic spinal growth (T1-T12) was less in the MLT group. No difference was observed in standing heights and EOSQ-24 scores. Within 3 years, 2 MLT patients had recurrence of deformity (risk = 11.1%, 95% CI 1.4; 34.7) and 1 had implant loosening (risk = 5.6%, 95% CI 0.1; 27.3).</p><p><strong>Conclusion: </strong>MLT patients had fewer reoperations within 3 years than control patients and a low risk of implant failure.</p><p><strong>Levels of evidence: </strong>Level II.</p><p><strong>Trial registration number: </strong>NCT01672749. Date of registration: 2012-08-24.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D rapid prototyping curve-specific scoliosis model: an affordable approach to reduce medial pedicle screw perforation in the thoracic and lumbar spine.","authors":"Junyu Li, Yongqiang Wang, Xin Huo, Nanfang Xu, Sheng Wang, Zekun Li, Miao Yu, Yan Zeng, Weishi Li","doi":"10.1007/s43390-025-01114-y","DOIUrl":"https://doi.org/10.1007/s43390-025-01114-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the effect of 3D rapid prototyping(3DRP) curve-specific scoliosis model in pedicle screws placement, and contrast it with standard free-hand techniques.</p><p><strong>Methods: </strong>A retrospective review on scoliosis patients operated on by a single surgeon from 2014 to 2018 identified 48 patients with curve-specific models manufactured by 3DRP and used intra-operatively for guidance of instrumentation. They were age and gender-matched to 48 scoliosis patients in whom pedicle screws were placed following the standard free-hand technique. Screw position was determined on CT by a grading system as Grade 0 (no violation), Grade 1 (< 2 mm perforation), Grade 2 (< 4 mm perforation), or Grade 3 (> 4 mm perforation).</p><p><strong>Results: </strong>1485 screws (686 in the 3DRP group vs. 799 in the control group) were analyzed. Patients in the 3DRP group had higher Cobb angles and more challenging deformity. Although the overall percentages of critical perforations (those with risk of complications) were comparable between the two groups, the distribution of screw perforation were different. Screws in the 3DRP group were less likely to be critical both medially and laterally, and more likely to be critical anteriorly. Furthermore, laterally and anteriorly, the difference between them were largely due to a difference in Grade 2 perforation, whereas medially, the difference resulted from a higher percentage of both Grade 2 and Grade 3 perforation.</p><p><strong>Conclusion: </strong>3DRP scoliosis model represents an affordable and accessible approach to reduce medial pedicle screw perforation with high risk of complications in the thoracic and lumbar spine.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closing-opening vertebral column resection for thoracolumbar congenital kyphosis: technical note and case report.","authors":"Anouar Bourghli, Louis Boissiere, Faisal Konbaz, Cecile Roscop, Khaled Almusrea, Ibrahim Obeid","doi":"10.1007/s43390-025-01108-w","DOIUrl":"https://doi.org/10.1007/s43390-025-01108-w","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the technique of closing-opening vertebral column resection (COVCR) in an adult patient with severe thoracolumbar kyphosis secondary to two adjacent posterior hemivertebrae.</p><p><strong>Background: </strong>COVCR is a rare technique as it can only be applied in a very specific deformity configuration.</p><p><strong>Methods: </strong>We report the case of a 26-year-old male who has been complaining of middle and low back pain for over 10 years with difficulties when walking for long distances. Full spine anteroposterior and lateral X-rays revealed a severe thoracolumbar kyphosis with an angulation of 95° between T10 and L1. CT scan confirmed the presence of two adjacent posterior hemivertebrae at the level of T11 and T12. MRI did not show any spinal cord anomalies.</p><p><strong>Results: </strong>The patient underwent a posterior resection of T11 and T12 vertebrae with instrumentation from T7 to L4. Through the use of a side-to-side domino connector, closing of the middle column and opening of the anterior column were achieved demonstrating a COVCR. No cage was inserted. Thoracolumbar kyphosis was corrected to 25°. He could walk on day 2 with a satisfactory clinical and radiological result at 2 years.</p><p><strong>Conclusion: </strong>This is the first paper to describe the true COVCR as a surgical technique for the management of congenital thoracolumbar kyphosis. Such variation of VCR may be applied in the presence of a posterior hemivertebra where the configuration enables opening of the anterior column and closing of the middle column.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of paraspinal muscles in adolescent idiopathic scoliosis: a study based on shear wave elastography.","authors":"Haoyang Zhang, Xin Ye, Yingsen Pan, Yi Shen, Yan Chen, Ge Cai, Jiaying He, Xiang Zhou, Xiaoming Ying","doi":"10.1007/s43390-025-01110-2","DOIUrl":"https://doi.org/10.1007/s43390-025-01110-2","url":null,"abstract":"<p><strong>Study design: </strong>Prospective study.</p><p><strong>Purpose: </strong>To explore the application and potential clinical value of shear wave elastography (SWE) in assessing the biomechanical properties of paraspinal muscles in adolescent idiopathic scoliosis (AIS).</p><p><strong>Methods: </strong>This study screened 30 AIS who visited our hospital between January 1, 2023, and January 4, 2024. Shear wave elastography (SWE) was used to measure the Young's modulus of the paraspinal muscles while the patients were seated in a neutral posture. The biomechanical properties of the paraspinal muscles were analyzed, and their correlation with the degree of scoliosis was explored.</p><p><strong>Results: </strong>The Young's modulus values of the bilateral erector spinae, quadratus lumborum, and psoas major muscles in AIS showed significant differences (P < 0.05). A significant correlation was found between the difference in Young's modulus values of the paraspinal muscles and the Cobb angle (P < 0.05). Specifically, the erector spinae had a negative correlation with the Cobb angle (r = - 0.410, P = 0.024), while the psoas major and quadratus lumborum had positive correlations (r = 0.852, P = 0.024; r = 0.419, P = 0.021).</p><p><strong>Conclusion: </strong>The results show that in AIS, the stiffness of the erector spinae is higher on the convex side, while the psoas major and quadratus lumborum are stiffer on the concave side. The Cobb angle positively correlates with the stiffness of the psoas major and quadratus lumborum, and negatively with the erector spinae. SWE effectively evaluates paraspinal muscle properties in AIS, aiding scoliosis diagnosis and assessment.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence automated measurements of spinopelvic parameters in adult spinal deformity-a systematic review.","authors":"Anthony Bishara, Saarang Patel, Anmol Warman, Jacob Jo, Liam P Hughes, Jawad M Khalifeh, Tej D Azad","doi":"10.1007/s43390-025-01111-1","DOIUrl":"https://doi.org/10.1007/s43390-025-01111-1","url":null,"abstract":"<p><strong>Purpose: </strong>This review evaluates advances made in deep learning (DL) applications to automatic spinopelvic parameter estimation, comparing their accuracy to manual measurements performed by surgeons.</p><p><strong>Methods: </strong>The PubMed database was queried for studies on DL measurement of adult spinopelvic parameters between 2014 and 2024. Studies were excluded if they focused on pediatric patients, non-deformity-related conditions, non-human subjects, or if they lacked sufficient quantitative data comparing DL models to human measurements. Included studies were assessed based on model architecture, patient demographics, training, validation, testing methods, and sample sizes, as well as performance compared to manual methods.</p><p><strong>Results: </strong>Of 442 screened articles, 16 were included, with sample sizes ranging from 15 to 9,832 radiograph images and reporting interclass correlation coefficients (ICCs) of 0.56 to 1.00. Measurements of pelvic tilt, pelvic incidence, T4-T12 kyphosis, L1-L4 lordosis, and SVA showed consistently high ICCs (>0.80) and low mean absolute deviations (MADs <6°), with substantial number of studies reporting pelvic tilt achieving an excellent ICC of 0.90 or greater. In contrast, T1-T12 kyphosis and L4-S1 lordosis exhibited lower ICCs and higher measurement errors. Overall, most DL models demonstrated strong correlations (>0.80) with clinician measurements and minimal differences compared to manual references, except for T1-T12 kyphosis (average Pearson correlation: 0.68), L1-L4 lordosis (average Pearson correlation: 0.75), and L4-S1 lordosis (average Pearson correlation: 0.65).</p><p><strong>Conclusion: </strong>Novel computer vision algorithms show promising accuracy in measuring spinopelvic parameters, comparable to manual surgeon measurements. Future research should focus on external validation, additional imaging modalities, and the feasibility of integration in clinical settings to assess model reliability and predictive capacity.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of another centimeter: assessing the impact of magnetically controlled growing rod replacement in thoracic height gain and scoliosis correction.","authors":"Yusuke Hori, David Fralinger, Brett Shannon, Ali Asma, Norihiro Isogai, Luiz Carlos Almeida da Silva, Kacey L McGinnes, Kenneth J Rogers, W G Stuart Mackenzie, Peter G Gabos, William G Mackenzie, Suken A Shah","doi":"10.1007/s43390-025-01101-3","DOIUrl":"https://doi.org/10.1007/s43390-025-01101-3","url":null,"abstract":"<p><strong>Purpose: </strong>Magnetically controlled growing rods (MCGR) enable scoliosis correction and height gain with minimum surgeries; however, the risk of extension failure increases with repeated lengthening, potentially necessitating rod replacement. This study aimed to investigate the benefits of replacing MCGR for additional lengthening before definitive fusion compared with direct transition to fusion without replacement.</p><p><strong>Methods: </strong>This single-center retrospective study included patients with early-onset scoliosis who were treated with MCGR and underwent definitive fusion. Achieved rod length, T1-T12 height gain, and major curve correction were compared between patients with and without MCGR replacement. Additionally, achieved length of first and second rods was compared among patients who underwent MCGR replacement.</p><p><strong>Results: </strong>Of 39 patients (56% female) meeting inclusion criteria, 13 underwent MCGR replacement. Patients who had replacement achieved greater total lengthening (37 vs. 20 mm, P < 0.001) over a longer period (6.2 vs. 3.5 years, P < 0.001). The replacement group also showed higher T1-T12 height gain after definitive fusion than the control group (61 vs. 47 mm, P = 0.011), although most height gains occurred during the index surgery. In contrast, the major curve correction rate was significantly lower in the replacement group (51% vs. 65%, P = 0.033). The initial MCGR achieved more lengthening than the secondary in 11/13 replacement patients.</p><p><strong>Conclusions: </strong>MCGR replacement leads to additional lengthening and T1-T12 height gain but is associated with diminished scoliosis correction. These findings question the value of the modest 14-mm increase in thoracic height from MCGR replacement considering the decreased deformity correction and the additional time and cost.</p><p><strong>Level of evidence: </strong>Retrospective Cohort, Level III.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growth modulation increases clinical success in vertebral body tethering.","authors":"Daniel G Hoernschemeyer, Samuel D Hawkins, Nicole M Tweedy, Melanie E Boeyer","doi":"10.1007/s43390-025-01105-z","DOIUrl":"https://doi.org/10.1007/s43390-025-01105-z","url":null,"abstract":"<p><strong>Purpose: </strong>The relationship between skeletal maturity and postoperative growth modulation (GM) in patients treated with Vertebral Body Tethering (VBT) is poorly understood. We aimed to: (1) identify preoperative skeletal maturity factors associated with GM, and (2) assess the relationship between GM and postoperative success in patients treated with VBT.</p><p><strong>Methods: </strong>We retrospectively reviewed radiographic data from 55 patients with a minimum follow-up of 2 years (2.6 ± 0.5). Changes in standing height and skeletal maturity (Sanders Stage [SS], Triradiate Cartilage [TRC], and Risser Stage [RS]) were assessed at all timepoints. Patients that exhibited GM were defined by ≥ 6° of deformity correction from first erect to any postoperative timepoint. Successful outcomes were defined by a Cobb Angle of ≤ 30° at latest follow-up.</p><p><strong>Results: </strong>We observed GM in 42% (23 of 55) of patients. GM was influenced by SS (p = 0.017) and TRC (p = 0.013), but not RS (p = 0.104). We observed a successful outcome in 91% of patients that exhibited GM compared to 44% of those that did not (p < 0.001; OR 12.9). No difference was identified in preoperative deformity magnitude or amount of initial correction achieved between patients that did and did not exhibit GM. Patients who exhibited GM had a higher revision rate (30.4%) than when compared to those who did not (3.0%, p = 0.005, OR 9.7).</p><p><strong>Conclusion: </strong>Postoperative success after VBT is directly related to GM. Patients who modulate their deformity are 12.9 times more likely to exhibit a successful outcome and can be identified preoperatively based on SS or TRC.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to \"ChatGPT to answer frequently asked questions on scoliosis: comment\".","authors":"Brigitte Lieu, Ethan Crawford, Logan Laubach, Teja Yeramosu, Chester Sharps, Joanna Horstmann, Victoria Kuester","doi":"10.1007/s43390-025-01109-9","DOIUrl":"https://doi.org/10.1007/s43390-025-01109-9","url":null,"abstract":"","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}