Alternatives to VCR in major deformity correction
Kenneth Cheung Jessie Ho Professor in Spine Surgery Head, Department of Orthopaedics & Traumatology
Disclosures
- AOSpine (a, d)
- Avalon Spinecare (a)
- Medtronic (d)
- NuVasive (d)
- OrthoSmart (g)
Conflicts of Interest Key: a – grants/research support; b – consultant; c – stock/shareholder (self- managed); d – speaker honoraria; e – advisory board or panel; f – employee, salary (commercial interest); g – other financial or material support (royalties, patents, etc.)
VCR or not?
Complication rates in major deformity surgeries
- Kostuik and Hall 1983
– 78%
- Simmonds et al. 1993
– 41%
- Daubs et al. 2007
– 37%
- Charovsky et al. 2012
- 39%
Prospective, Multicenter Assessment of Complications Following Complex Adult Spinal Deformity Surgery:
The Scoli-RISK-1 Trial
LAWRENCE G. LENKE, MD MICHAEL G. FEHLINGS, MD, PHD CHRISTOPHER I. SHAFFREY, MD KENNETH MC CHEUNG, MD LEAH CARREON, MD, MSC
Kenneth Cheung1, Mark Dekutoski2, Frank Schwab3, Oheneba Boachie-adjei4, Khaled Kebaish5, Christopher Ames6, Yong Qiu 7, Yukihiro Matsuyama8, Benny Dahl9, Hossein Mehdian10, Ferran Pellisé-Urquiza11, Leah Carreon 12, Christopher Shaffrey13, Michael Fehlings14, Lawrence Lenke15 Affiliations:
1 The University of Hong Kong, Hong Kong 2 The CORE Institute, Roschester, U.S.A. 3 New York University, U.S.A. 4 Hospital for Special Surgery, New York, U.S.A. 5 Johns Hopkins University, U.S.A. 6 University of California, San Francisco, U.S.A. 7 Nanjing University Medical School, China 8 Hamamatsu University School of Medicine, Japan 9 SpineUnit, Rigshospitalet, Copenhagen, Denmark 10 University Hospital, Nottingham, U.K. 11 Hospital Universitari Vall d’Hebron, Spain 12 Norton Leatherman Spine Center, Louiseville, U.S.A. 13 University of Virginia, U.S.A. 14 University of Toronto, Canada 15 Washington University, U.S.A.