Does alignment alone predict mechanical complications after adult spinal deformity surgery? A machine learning comparison of alignment, bone quality, and soft tissue
These results support the notion that not every mechanical failure is explained by alignment alone. The authors found that a combination of alignment, bone quality, and soft tissue provided the most accurate prediction of mechanical complications after ASD surgery. While achieving optimal alignment is essential, additional data including bone and soft tissue are necessary to minimize mechanical complications.
Authors
- Julian G. Lugo-Pico (ORCID: https://orcid.org/0000-0001-5024-1206)
- Graham W. Johnson (ORCID: https://orcid.org/0000-0002-9154-4315)
- Sameer Sundrani (ORCID: https://orcid.org/0000-0002-1939-0462)
- Scott L. Zuckerman (ORCID: https://orcid.org/0000-0003-2951-2942)
- Adam M. Wegner (ORCID: https://orcid.org/0000-0001-5862-800X)
- Omar Zakieh (ORCID: https://orcid.org/0000-0003-1608-3480)
- Derek J. Doss (ORCID: https://orcid.org/0000-0002-2685-0762)
- Harsh B. Jain (ORCID: https://orcid.org/0000-0001-9396-3989)
- Byron F. Stephens (ORCID: https://orcid.org/0000-0001-5397-5344)
- Amir Mohamad Abtahi (ORCID: https://orcid.org/0000-0001-6756-7421)
Institutions
- Mayo Clinic (US)
- Vanderbilt University (US)
- OrthoVirginia (US)
- Neurological Surgery (US)
- Vanderbilt University Medical Center (US)
Publication Details
- Journal
- Neurosurgical FOCUS
- Published
- 2025-07-01
- DOI
- https://doi.org/10.3171/2025.4.focus25245
- Citations
- 1
- Primary Topic
- Scoliosis diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.01