♢ At the end of a title indicates that the FDA has not cleared prescription drugs, approved medical devices and/or biologics for the use described in this presentation. The prescription drugs, approved medical devices and/or biologics are being discussed for an off-label use.

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512 Comparative Analysis of Reoperation and Recovery in Adult Spinal Deformity Patients with Proximal Junctional Kyphosis or Failure Initially Fused to the Upper versus Lower Thoracic Spine

Author:Peter Passias, MD,FAAOS  Tobi Onafowokan, MBBS, MRCS, MSc  Peter Tretiakov, BS  Anthony Yung  Max Fisher, MD  Christopher Ames, MD  Robert Bess, MD,FAAOS  Douglas Burton, MD, FAAOS  Alan Daniels, MD  Bassel Diebo, MD  Robert Eastlack, MD,FAAOS  Jeffrey Gum, MD,FAAOS  Munish Gupta, MD,MBA,FAAOS  D. Kojo Hamilton  Richard Hostin, MD, FAAOS  Khaled Kebaish, MD,FAAOS  Michael Kelly, MD,MSc,FAAOS,FAORTHA  Han Jo Kim, MD, FAAOS  Eric Klineberg, MD,FAAOS  Renaud Lafage, MS  Virginie Lafage, PhD  Stephen Lewis, MD  Breton Line, BS  Praveen Mummaneni, MBA, MD  Gregory Mundis, MD,FAAOS  Pierce Nunley, MD, FACS  David Okonkwo, MD, PhD  Themistocles Protopsaltis, MD,FAAOS  Frank Schwab, MD  Christopher Shaffrey, MD,FAAOS  Justin Smith, MD  Alexandra Soroceanu, MD  International Spine Study Group  Jay Turner, MD, PhD  Juan Uribe, MD  Michael Wang, MD  Jamshaid Mir, MD  Lawrence Lenke, MD, FAAOS  Neel Anand, MD,MCH(ORTH)(UK),MS (ORTH),MBBS,FAAOS  Jeffrey Mullin, MBA, MD  Mitsuru Yagi, MD, PhD  Justin Scheer, MD  

Event Title:(509-520) VIPER: Spine IV Papers  

Event Type:Paper Presentations  

Category-Classification:Spine  

Event Day:Thursday, March 13  

518 When Is Staging Complex Adult Spinal Deformity Advantageous?: Predictive Analysis Identifying Subsets of Patient Who Benefit From Staged Combination-Approach Surgery

Author:Peter Passias, MD,FAAOS  Tobi Onafowokan, MBBS, MRCS, MSc  Peter Tretiakov, BS  Christopher Ames, MD  Neel Anand, MD,MCH(ORTH)(UK),MS (ORTH),MBBS,FAAOS  Robert Bess, MD,FAAOS  Douglas Burton, MD, FAAOS  Alan Daniels, MD  Bassel Diebo, MD  Robert Eastlack, MD,FAAOS  Jeffrey Gum, MD,FAAOS  Munish Gupta, MD,MBA,FAAOS  D. Kojo Hamilton  Richard Hostin, MD, FAAOS  Khaled Kebaish, MD,FAAOS  Michael Kelly, MD,MSc,FAAOS,FAORTHA  Han Jo Kim, MD, FAAOS  Eric Klineberg, MD,FAAOS  Renaud Lafage, MS  Virginie Lafage, PhD  Lawrence Lenke, MD, FAAOS  Stephen Lewis, MD  Breton Line, BS  Jeffrey Mullin, MBA, MD  Praveen Mummaneni, MBA, MD  Gregory Mundis, MD,FAAOS  Pierce Nunley, MD, FACS  David Okonkwo, MD, PhD  Themistocles Protopsaltis, MD,FAAOS  Justin Scheer, MD  Frank Schwab, MD  Christopher Shaffrey, MD,FAAOS  Justin Smith, MD  Alexandra Soroceanu, MD  Jay Turner, MD, PhD  Juan Uribe, MD  Mitsuru Yagi, MD, PhD  Max Fisher, MD  Anthony Yung  Jamshaid Mir, MD  Michael Wang, MD  International Spine Study Group  

Event Title:(509-520) VIPER: Spine IV Papers  

Event Type:Paper Presentations  

Category-Classification:Spine  

Event Day:Thursday, March 13  

576 Impact of Cephalad vs. Caudal Lumbar Lordosis Correction on Spinal Shape and Outcomes of Complex Deformity Spine Surgery

Author:Bassel Diebo, MD  Mohammad Daher, BS  Abel De Varona Cocero, BA  Mariah Balmaceno-Criss, BS  Renaud Lafage, MS  Lawrence Lenke, MD, FAAOS  Christopher Ames, MD  Douglas Burton, MD, FAAOS  Stephen Lewis, MD  Eric Klineberg, MD,FAAOS  Robert Eastlack, MD,FAAOS  Munish Gupta, MD,MBA,FAAOS  Gregory Mundis, MD,FAAOS  Jeffrey Gum, MD,FAAOS  D. Kojo Hamilton  Richard Hostin, MD, FAAOS  Peter Passias, MD,FAAOS  Themistocles Protopsaltis, MD,FAAOS  Han Jo Kim, MD, FAAOS  Christopher Shaffrey, MD,FAAOS  Justin Smith, MD  Breton Line, BS  Juan Uribe, MD  Praveen Mummaneni, MBA, MD  Jay Turner, MD, PhD  Pierce Nunley, MD, FACS  Robert Bess, MD,FAAOS  Virginie Lafage, PhD  Alan Daniels, MD  International Spine Study Group  

Event Title:(573-580) VIPER: Spine V Papers  

Event Type:Paper Presentations  

Category-Classification:Spine  

Event Day:Thursday, March 13  

e552 Are we getting better at Achieving Optimal Lumbar Segmental Sagittal Alignment in adult spine deformity surgery?

Author:Tobi Onafowokan, MBBS, MRCS, MSc  Christopher Ames, MD  Neel Anand, MD,MCH(ORTH)(UK),MS (ORTH),MBBS,FAAOS  Robert Bess, MD,FAAOS  Douglas Burton, MD, FAAOS  Alan Daniels, MD, FAAOS  Bassel Diebo, MD  Robert Eastlack, MD,FAAOS  Jonathan Elysee  Jeffrey Gum, MD,FAAOS  Munish Gupta, MD,MBA,FAAOS  D. Kojo Hamilton  Richard Hostin, MD, FAAOS  Khaled Kebaish, MD,FAAOS  Han Jo Kim, MD, FAAOS  Eric Klineberg, MD,FAAOS  Renaud Lafage, MS  Virginie Lafage, PhD  Lawrence Lenke, MD, FAAOS  Stephen Lewis, MD  Breton Line, BS  Jeffrey Mullin, MBA, MD  Praveen Mummaneni, MBA, MD  Gregory Mundis, MD,FAAOS  Pierce Nunley, MD, FACS  David Okonkwo, MD, PhD  Themistocles Protopsaltis, MD,FAAOS  Justin Scheer, MD  Frank Schwab, MD  Christopher Shaffrey, MD,FAAOS  Justin Smith, MD  Alexandra Soroceanu, MD  Jay Turner, MD, PhD  Juan Uribe, MD  Michael Wang, MD  Mitsuru Yagi, MD, PhD  Anthony Yung  Max Fisher, MD  Jamshaid Mir, MD  International Spine Study Group  Peter Passias, MD,FAAOS  

Event Title:e546-e635 Spine ePosters  

Event Type:ePosters  

Category-Classification:Spine  

Event Day:Monday, March 10  

e553 Assessment of Modern Iatrogenic Flatback Syndrome: Nearly 70% of Short Lumbar Fusions had Undercorrection of L4-S1 Lordosis

Author:Bassel Diebo, MD  Manjot Singh, BS  Mariah Balmaceno-Criss, BS  Mohammad Daher, BS  Lawrence Lenke, MD, FAAOS  Christopher Ames, MD  Douglas Burton, MD, FAAOS  Stephen Lewis, MD  Eric Klineberg, MD,FAAOS  Renaud Lafage, MS  Robert Eastlack, MD,FAAOS  Munish Gupta, MD,MBA,FAAOS  Gregory Mundis, MD,FAAOS  Jeffrey Gum, MD,FAAOS  D. Kojo Hamilton  Richard Hostin, MD, FAAOS  Peter Passias, MD,FAAOS  Themistocles Protopsaltis, MD,FAAOS  Han Jo Kim, MD, FAAOS  Christopher Shaffrey, MD,FAAOS  Breton Line, BS  Praveen Mummaneni, MBA, MD  Pierce Nunley, MD, FACS  Justin Smith, MD  Jay Turner, MD, PhD  Juan Uribe, MD  Robert Bess, MD,FAAOS  Virginie Lafage, PhD  Alan Daniels, MD  International Spine Study Group  

Event Title:e546-e635 Spine ePosters  

Event Type:ePosters  

Category-Classification:Spine  

Event Day:Monday, March 10