PREDICTION OF MECHANICAL COMPLICATIONS IN ADULT SPINAL DEFORMITY SURGERY – THE GAP SCORE VERSUS THE SCHWAB CLASSIFICATION

– Surgery for adult spinal deformity (ASD) is a challenging and complex procedure with high reported complication (8.4-42%) and revision rates (9-17.6%). Failure to achieve or maintain adequate postoperative sagittal alignment has been reported to be the main cause of mechanical complications. In order to define appropriate surgical targets, the Scoliosis Research Society (SRS)-Schwab classification and the Global Alignment and Proportion (GAP) score were established. In the literature, no study has yet compared these classification systems with respect to the risk of developing mechanical complications.

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