A bone optimization rheumatology clinic increases anabolic bone agent use and reduces mechanical complications in adult spinal deformity surgery - PubMed
8 days ago
- #osteoporosis
- #spinal deformity
- #anabolic agents
- A bone optimization rheumatology clinic significantly increases the use of anabolic bone agents in adult spinal deformity (ASD) surgery.
- The clinic also reduces mechanical complications and reoperation rates in osteopenic/osteoporotic patients undergoing ASD surgery.
- After the clinic's establishment, more patients received preoperative anabolic therapy (54% vs. 23%) and for a longer duration (98 ± 156 vs. 40 ± 109 days).
- Overall mechanical complications decreased significantly (49% vs. 81%), as did reoperation for mechanical complications (6% vs. 44%).
- Multivariable regression showed the clinic independently improved preoperative anabolic agent use (OR = 5.3) and reduced mechanical complications (OR = 0.2) and reoperation (OR = 0.1).