Publications by authors named "F S Kleinstueck"
Article Synopsis
- This study analyzed data from multiple centers to explore how machine learning can help in predicting treatment strategies (surgery vs. conservative) for patients with adult spine deformity (ASD).
- It found that patients whose initial treatment approach matched the machine learning predictions were more likely to reach meaningful clinical improvement, measured by the Minimum Clinically Important Difference (MCID) in various health indices.
- The results indicated that different patient clusters (based on conditions like scoliosis and sagittal imbalance) showed varying success rates in achieving MCID, emphasizing the importance of accurate treatment predictions in improving patient outcomes.
Purpose: The Minimal Clinically Important Difference (MCID) is crucial to evaluate management outcomes, but different thresholds have been obtained in different works. Part of this variability is due to measurement error and influence of the database, both essential for calculating the MCID. The aim of this study was to introduce the association of the ROC method in the anchor-based MCID calculation for ODI, SRS-22r, and SF-36, to objectively set the threshold for the anchor-based MCID in an adult spine deformity (ASD) population.
View Article and Find Full Text PDFBackground: The long-term impact of reoperations following adult spinal deformity (ASD) surgery is still poorly understood. Our aim was to identify the relationship between unplanned reoperation and health-related quality of life (HRQoL) gain at 2 and 5 years of follow-up.
Methods: We included patients enrolled in a prospective ASD database who underwent surgery ≥5 years prior to the start of the study and who had 2 years of follow-up data.
Advancements in non-ionizing methods for quantifying spinal deformities are crucial for assessing and monitoring scoliosis. In this study, we analyzed the observer variability of a newly developed digital tool for quantifying body asymmetry from clinical photographs. Prospective observational multicenter study.
View Article and Find Full Text PDFIntroduction: Selecting patients with lumbar degenerative spondylolisthesis (LDS) for surgery is difficult. Appropriate use criteria (AUC) have been developed to clarify the indications for LDS surgery but have not been evaluated in controlled studies.
Methods: This prospective, controlled, multicentre study involved 908 patients (561 surgical and 347 non-surgical controls; 69.