Development of a modified frailty index for adult spinal deformities independent of functional changes following surgical correction: a true baseline risk assessment tool.

Document Type

Article

Publication Date

2-2-2024

Publication Title

Spine Deform

Keywords

washington; swedish

Abstract

PURPOSE: To develop a simplified, modified frailty index for adult spinal deformity (ASD) patients dependent on objective clinical factors.

METHODS: ASD patients with baseline (BL) and 2-year (2Y) follow-up were included. Factors with the largest R

RESULTS: Five hundred thirty-one ASD patients (59.5 yrs, 79.5% F) were included. The final model had a R

CONCLUSIONS: Utilizing an existing ASD frailty index, we proposed a modified version eliminating the patient-reported components. This index is a true assessment of physiologic status, and represents a superior risk factor assessment compared to other tools for both primary and revision spinal deformity surgery as a result of its immutability with surgery, lack of subjectivity, and ease of use.

Clinical Institute

Neurosciences (Brain & Spine)

Department

Neurosciences

Department

Orthopedics

Department

Surgery

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