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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  

              514 Should Pelvic Incidence Influence Realignment Strategy? A Detailed Analysis in Adult Spinal Deformity

              Author:Tyler Williamson, DO,MS  Tobi Onafowokan, MBBS, MRCS, MSc  Jordan Lebovic, MD,MBA  Stephane Owusu-Sarpong, MD  Ethan Cottrill  Ahmed Makhani, MD  Matthew Galetta, MD  Max Fisher, MD  Anthony Yung  Nathan Lorentz, MD  Renaud Lafage, MS  Virginie Lafage, PhD  Andrew Schoenfeld, MD,FAAOS  Peter Passias, MD,FAAOS  

              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  

              519 An Alternative Method to Evaluating the Value of Adult Spinal Deformity Interventions

              Author:Ankita Das, BS  Tobi Onafowokan, MBBS, MRCS, MSc  Jamshaid Mir, MD  Anthony Yung  Max Fisher, MD  Ethan Cottrill  Tyler Williamson, DO,MS  Nathan Lorentz, MD  Matthew Galetta, MD  Jordan Lebovic, MD,MBA  Aaron Hockley, FRCSC  Bassel Diebo, MD  Shaleen Vira, MD, FAAOS  Alan Daniels, MD, FAAOS  Peter Passias, MD,FAAOS  

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

              Event Type:Paper Presentations  

              Category-Classification:Spine  

              Event Day:Thursday, March 13  

              573 Introducing the Preoperative Landing Zone Concept: Implications of Listhesis and Spinopelvic Inclination of the Upper Instrumented Vertebral Region on Proximal Junctional Kyphosis

              Author:Bassel Diebo, MD  Mohammad Daher, BS  Abel De Varona Cocero, BA  Andrew Xu, BA  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  Christopher Shaffrey, MD,FAAOS  Justin Smith, MD  Breton Line, BS  Robert Bess, MD,FAAOS  Han Jo Kim, 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