Does alignment alone predict mechanical complications after adult spinal deformity surgery? A machine learning comparison of alignment, bone quality, and soft tissue.
Journal:
Neurosurgical focus
Published Date:
Jul 1, 2025
Abstract
OBJECTIVE: Mechanical complications are a vexing occurrence after adult spinal deformity (ASD) surgery. While achieving ideal spinal alignment in ASD surgery is critical, alignment alone may not fully explain all mechanical complications. The authors sought to determine which combination of inputs produced the most sensitive and specific machine learning model to predict mechanical complications using postoperative alignment, bone quality, and soft tissue data.