Artificial Intelligence Models Predict Operative Versus Nonoperative Management of Patients with Adult Spinal Deformity with 86% Accuracy.

Journal: World neurosurgery
Published Date: Sep 1, 2020

Abstract

OBJECTIVE: Patients with ASD show complex and highly variable disease. The decision to manage patients operatively is largely subjective and varies based on surgeon training and experience. We sought to develop models capable of accurately discriminating between patients receiving operative versus nonoperative treatment based only on baseline radiographic and clinical data at enrollment.

Authors

  • Wesley M Durand
    1Division of Spine Surgery and.
  • Alan H Daniels
    1Division of Spine Surgery and.
  • David K Hamilton
    Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
  • Peter Passias
    Department of Orthopedics, New York University Langone Orthopedic Hospital, New York, New York, USA.
  • Han Jo Kim
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.
  • Themistocles Protopsaltis
    Department of Orthopedics, New York University Langone Orthopedic Hospital, New York, New York, USA.
  • Virginie Lafage
    Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 306 E 15th Street, Suite 1F, New York, NY 10003, USA.
  • Justin S Smith
    Department of Neurosurgery, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22903, USA.
  • Christopher Shaffrey
    Division of Spine Surgery, Duke University, Durham, North Carolina, USA.
  • Munish Gupta
    Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri, USA.
  • Eric Klineberg
    Department of Orthopaedic Surgery, University of California-Davis, Sacramento, California, USA.
  • Frank Schwab
    Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 306 E 15th Street, Suite 1F, New York, NY 10003, USA.
  • Doug Burton
    Department of Orthopaedic Surgery, University of Kansas Hospital, Kansas City, Kansas, USA.
  • Shay Bess
    Rocky Mountain Hospital for Children, 2055 High Street, Suite 130, Denver, CO 80205, USA.
  • Christopher Ames
    Department of Neurosurgery, University of California-San Francisco, California, USA.
  • Robert Hart
    Division of Spine Surgery, Swedish Neuroscience Institute, Seattle, Washington, USA.

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