Artificial intelligence clustering of adult spinal deformity sagittal plane morphology predicts surgical characteristics, alignment, and outcomes.

Journal: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Published Date:

Abstract

PURPOSE: AI algorithms have shown promise in medical image analysis. Previous studies of ASD clusters have analyzed alignment metrics-this study sought to complement these efforts by analyzing images of sagittal anatomical spinopelvic landmarks. We hypothesized that an AI algorithm would cluster preoperative lateral radiographs into groups with distinct morphology.

Authors

  • Wesley M Durand
    1Division of Spine Surgery and.
  • Renaud Lafage
    Spine Research Laboratory, Hospital for Special Surgery, 535 E 71st Street, New York, NY, 10021, USA.
  • D Kojo Hamilton
    University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Peter G Passias
    Langone Medical Center, New York University, New York City, NY, 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.
  • Michael P Kelly
    Department of Orthopedic Surgery, Washington University, 4921 Parkview Place, A 12, St. Louis, MO 63110, USA.
  • Eric O Klineberg
    University of California, UC Davis Medical Center, Sacramento, CA, USA.
  • Frank Schwab
    Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 306 E 15th Street, Suite 1F, New York, NY 10003, USA.
  • Jeffrey L Gum
    Leatherman Spine Center, Louisville, KY, USA.
  • Gregory Mundis
    San Diego Spine, La Jolla, San Diego, CA, USA.
  • Robert Eastlack
    San Diego Spine, La Jolla, San Diego, CA, USA.
  • Khaled Kebaish
    Department of Orthopaedic Surgery, Johns Hopkins University, 610 North Caroline Street, Suite 5243, Baltimore, MD 21287, USA.
  • Alex Soroceanu
    University of Calgary, Calgary, AB, Canada.
  • Richard A Hostin
    Southwest Scoliosis Institute, Plano, TX, 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 A Hart
    Department of Orthopaedic Surgery, Oregon Health & Science University, 3182 SW Sam Jackson Park Rd; Ortho Dept MC: OP31, Portland, OR 97239, USA.
  • Alan H Daniels
    1Division of Spine Surgery and.