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Related Experiment Video

Updated: Jun 11, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
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Redefining Clinical Success Following Adult Spine Deformity Surgery Using a Multifactorial Composite Metric.

Blerta Budani1, Paramveer Kaur1, Shay R Bess2

  • 1Department of Orthopedic Surgery, Northwell Health, Lenox Hill Hospital, New York, NY, USA.

Spine
|June 9, 2026
PubMed

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Summary
This summary is machine-generated.

Defining surgical success in adult spinal deformity (ASD) surgery requires a multidimensional approach. Composite success measures, considering disability, pain, and revisions, better reflect outcomes and patient satisfaction than single metrics.

Area of Science:

  • Spine surgery outcomes research
  • Orthopedic surgery
  • Deformity correction analysis

Background:

  • Adult spinal deformity (ASD) presents diverse challenges, with surgery aiming to improve function, reduce pain, and minimize revisions.
  • Current evaluations of surgical success in ASD are often limited, lacking a comprehensive, multifactorial assessment.

Purpose of the Study:

  • To establish a multidimensional definition of surgical success for adult spinal deformity (ASD) surgery.
  • To evaluate the achievement rates of this composite success definition across various patient subgroups.

Main Methods:

  • A retrospective multicenter registry study analyzed 1,084 patients with ASD.
  • Surgical success was defined by improvements in disability (ODI), leg pain (NRS Leg), and avoidance of reoperation at 2-year follow-up.
Keywords:
adult spinal deformityelective surgeryleg painoswestry disability indexpatient satisfactionsuccess

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  • Patients were categorized by preoperative disability and pain levels; success rates were compared across these groups and deformity types.

    • Main Results:

    • The overall composite success rate was 40.5%, with individual success rates for disability (60.9%), leg pain (64.8%), and revision avoidance (81.2%).
    • Patients without preoperative high disability or pain achieved the highest composite success (59.4%).
    • Composite success strongly correlated with patient satisfaction (87.2%) and willingness to undergo repeat treatment (94.4%).

    Conclusions:

    • A multidimensional definition of surgical success, incorporating disability, pain, and revision rates, provides a more comprehensive assessment for ASD surgery.
    • Identifying patient characteristics associated with higher success rates aids in evidence-based patient selection and preoperative counseling.
    • This framework supports outcome-driven surgical planning for adult spinal deformity.