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Author

Munish C. Gupta

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Open access Oct 2026

Combined Anterior-Posterior vs. Posterior-Only Fusion in Adult Spinal Deformity Radiographic, Clinical, and Mechanical Outcomes With Longitudinal Mixed-Effects Analysis.

Study DesignRetrospective cohort study.ObjectivesTo compare radiographic, clinical, and mechanical outcomes of posterior-only versus combined anterior-posterior fusion in adult spinal deformity (ASD) patients undergoing long-segment thoracolumbar fusion with pelvic fixation.MethodsConsecutive ASD patients undergoing in...

Nuri Demirci, M. Zaazoue, C. Yilgor et al. · 0 citations
Open access Aug 2026

Intraoperative neuromonitoring alerts during surgery for congenital spinal deformity: prevalence, risk factors, and outcomes in a prospective study of 100 patients.

BACKGROUND Surgical goals for congenital spinal deformity (CSD) include correction of deformity and prevention of progression without affecting neurological function. CSD has a higher incidence of intraoperative neuromonitoring (IONM) alerts than other scoliosis types and a potential for risk of postoperative neurologi...

Anuj Gupta, Brett A. Shannon, Munish C. Gupta et al. · 0 citations
Review Oct 2026

Rethinking sagittal alignment: the value of evaluating spinal shape in conjunction with T4-L1 pelvic angle measurement to prevent proximal junctional failure.

OBJECTIVE The T4-L1 pelvic angle (T4-L1PA) has been proposed as a novel alignment target associated with mechanical complications in long-segment adult spinal deformity (ASD) surgery. However, its relationship to proximal junctional failure (PJF) and its relevance in shorter thoracolumbar constructs remain unclear. The...

R. Lafage, Fares Ani, T. Protopsaltis et al. · 0 citations
Sep 2026

The Lower Lordotic Arch More Precisely Predicts Pelvic Positioning for Adult Spinal Deformity Patients with an Aligned T4-L1-Hip Axis.

STUDY DESIGN Retrospective cohort. OBJECTIVE To assess the combined effect of lower lordotic arch (LLA) and thoracolumbar (T4-L1-hip axis) alignment correction on the ability to predict sacral slope (SS) (i.e. pelvic retroversion) in adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA The Roussouly framework c...

Alexander T. Yahanda, Tim T. Bui, Karan Joseph et al. · 0 citations
Review Aug 2026

Loss of patient-reported outcome benefit over 8-year follow-up for operatively treated adult symptomatic lumbar scoliosis patients who required revision surgery for mechanical complications.

The need for better techniques to reduce mechanical complications in ASLS surgery is emphasized, with patients with ≥ 2 revisions experienced the greatest impact on both their ODI score and SRS-22r subscore.

Justin S. Smith, Michael P. Kelly, E. Yanik et al. · 1 citation

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