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The Role of Bone Mineral Density in Adult Spinal Deformity Patients Undergoing Corrective Surgery: a Matched Analysis by Syed I. Khalid; Ravi S. Nunna; Jennifer S. Smith; Rachyl M. Shanker; Alecia A. Cherney; Kyle B. Thomson; Sai Chilakapati; Ankit I. Mehta; Owoicho Adogwa is a Medicine article available to read on EtoBox.
What is The Role of Bone Mineral Density in Adult Spinal Deformity Patients Undergoing Corrective Surgery: a Matched Analysis about?
## Study design: Retrospective cohort. ## Background: Over 44 million adults are estimated to have either osteoporosis or osteopenia. adult spinal deformity (asd) is estimated to affect between 32 and 68% of the elderly population. ## Objective: Retrospective investigation comparing rates of postoperative complications following thoracolumbar scoliosis surgery in patients with normal bone mineral density (bmd) to those with osteopenia or osteoporosis in addition to analyzing the effects of pretreatment with anti-osteoporotic medications in patients with low bmd. ## Methods: Using administrative database of humana beneficiaries, icd-9 and icd-10 diagnosis codes were used to identify asd patients undergoing multilevel thoracolumbar fusions between 2007 and 2017. ## Results: The propensity matched population analyzed in this study contained 1044 patients equally represented by those with a history of osteopenia, osteoporosis, or normal bmd. osteopenia and osteoporosis were associated with increased odds of revision surgery (or 2.01 95% ci 1.36-2.96 and or 1.57, 95% ci 1.05-2.35), respectively. similarly, there was an almost twofold increased odds of proximal and distal junctional kyph
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- Author
- Syed I. Khalid; Ravi S. Nunna; Jennifer S. Smith; Rachyl M. Shanker; Alecia A. Cherney; Kyle B. Thomson; Sai Chilakapati; Ankit I. Mehta; Owoicho Adogwa
- Publisher
- Springer Science and Business Media LLC
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)