Evaluation of Minimally Invasive Surgery for Complex Adult Spinal Deformity Including Outcomes and Best Practice Guidelines

What this Trial Is About

This research aims to evaluate surgical outcomes and develop best practice guidelines for adults with complex spinal deformities treated using minimally invasive surgery. The study focuses on various spinal deformities including congenital, degenerative, idiopathic, neuromuscular, inflammatory, or iatrogenic causes. It assesses radiographic and clinical outcomes, surgical complications, risk factors, revision surgery rates, and the impact of standardized procedures on improving patient results and reducing complications. Participants will undergo minimally invasive surgical procedures involving percutaneous posterior spinal instrumentation or stand-alone lateral surgery across three or more spinal levels. The study also examines the use of robotic techniques, expandable cages, single-position versus multi-position surgery, and perioperative blood management strategies. Evaluation includes the entire episode of care, including prehabilitation, pain management, and mental health support to enhance outcomes and reduce hospital stays and costs. During the study, participants will be followed up at multiple time points including 3 months, and 1, 2, 5, and 10 years after surgery. Assessments include patient-reported outcome measures such as the Scoliosis Research Society 22r, Oswestry Disability Index, Veterans RAND-12, and PROMIS scales covering anxiety, depression, pain, physical function, and social satisfaction. Radiographic evaluations and pain scales for back and leg pain are also collected. Safety monitoring includes tracking adverse events, frailty assessments, and mental and social health evaluations throughout the follow-up period.

Prospective Evaluation of Complex Adult Spinal Deformity (CAD) Treated With Minimally Invasive Surgery