Performance of the modified adult spinal deformity frailty index in preoperative risk assessment

…, AJ Schoenfeld, S Ahmad, V Singh, R Joujon-Roche… - Spine, 2022 - journals.lww.com
Study Design. Retrospective single-center, consecutively enrolled database of adult spinal
deformity (ASD) patients. Objective. The aim of this study was to assess the performance of …

Do the newly proposed realignment targets for C2 and T1 slope bridge the gap between radiographic and clinical success in corrective surgery for adult cervical …

…, O Krol, J Lebovic, B Imbo, R Joujon-Roche… - … of Neurosurgery: Spine, 2022 - thejns.org
OBJECTIVE Surgical correction of cervical deformity (CD) has been associated with superior
alignment and functional outcomes. It has not yet been determined whether baseline or …

The clinical impact of failing to achieve ideal proportional realignment in adult spinal deformity patients

…, NA Kummer, P Tretiakov, B Imbo, R Joujon-Roche… - Spine, 2022 - journals.lww.com
Objective. To identify the clinical impact of failing to achieve GAP proportionality in ASD
surgery. Study Design. Retrospective cohort. Methods. Operative ASD patients with fusion to S1/…

The importance of incorporating proportional alignment in adult cervical deformity corrections relative to regional and global alignment: steps toward development of a …

…, AJ Schoenfeld, O Krol, B Imbo, R Joujon-Roche… - Spine, 2024 - journals.lww.com
Background. The global alignment and proportion score is widely used in adult spinal
deformity surgery. However, it is not specific to the parameters used in adult cervical deformity (…

Should global realignment be tailored to frailty status for patients undergoing surgical intervention for adult spinal deformity?

…, TK Williamson, O Krol, PS Tretiakov, R Joujon-Roche… - Spine, 2023 - journals.lww.com
Study Design. Retrospective cohort study. Objective. Assess whether modifying spinal
alignment goals to accommodate frailty considerations will decrease mechanical complications …

Defining age-adjusted spinopelvic alignment thresholds: should we integrate BMI?

…, FA Segreto, B Imbo, T Williamson, R Joujon-Roche… - Spine deformity, 2022 - Springer
Purpose To develop age- and BMI-adjusted alignment targets to improve patient-specific
management and operative treatment outcomes. Methods Retrospective review of a single-…

An economic analysis of early and late complications after adult spinal deformity correction

…, O Krol, P Tretiakov, R Joujon-Roche… - Global Spine …, 2022 - journals.sagepub.com
Study design/setting Retrospective cohort. Objective Adult spinal deformity (ASD) corrective
surgery is often a highly invasive procedure portending patients to both immediate and long-…

Impact of frailty on the development of proximal junctional failure: does frailty supersede achieving optimal realignment?

…, N Sagoo, T Williamson, R Joujon-Roche… - Spine, 2023 - journals.lww.com
Background. Patients undergoing surgery for adult spinal deformity (ASD) are often elderly,
frail, and at elevated risk of adverse events perioperatively, with proximal junctional failure (…

Establishing the minimal clinically important difference for the PROMIS Physical domains in cervical deformity patients

…, O Krol, NA Kummer, R Joujon-Roche… - Journal of Clinical …, 2022 - Elsevier
Introduction Patient Reported Outcome Measurement Information System (PROMIS) instruments
have been shown to correlate with established patient outcome metrics. The aim of this …

The Impact of Lumbopelvic Realignment Versus Prevention Strategies at the Upper-instrumented Vertebra on the Rates of Junctional Failure Following Adult Spinal …

PG Passias, TK Williamson, R Joujon-Roche, O Krol… - Spine, 2024 - journals.lww.com
Objective. Evaluate the surgical technique that has the greatest influence on the rate of junctional
failure following ASD surgery. Summary of Background Data. Differing presentations of …