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. 2025 Jul;34(7):3070-3071.
doi: 10.1007/s00586-025-09028-z. Epub 2025 Jun 7.

Letter to the editor concerning "Risk factors for mortality after 3-column osteotomy" by Carbone J, et al. (Eur spine J [2024]: https://doi.org/10.1007/s00586-024-08616-9)

Moein Ashouri  1 , Mohammad Reza Cheraghi  2
Affiliations

Letter to the editor concerning "Risk factors for mortality after 3-column osteotomy" by Carbone J, et al. (Eur spine J [2024]: https://doi.org/10.1007/s00586-024-08616-9)

Moein Ashouri et al. Eur Spine J. 2025 Jul.

Erratum in

Abstract

Mortality risk factors associated with three-column osteotomies for adult spinal deformity, as presented by Carbone et al. provides valuable insights. This multi-institutional study uses the National Surgical Quality Improvement Program database to identify critical mortality risk factors. However, there are a few points that need to be addressed. Reliance on CPT codes, absence of long-term follow-up, and insufficient adjustment for key confounders, such as functional status and intraoperative restricts depth of the analysis. The study's oversimplified frailty assessment and lack of subgroup analysis further limit its clinical applicability. Moreover, the omission of a detailed exploration of complications and their association with mortality, including "failure to rescue" and non-home discharge rates, represents missed opportunities for actionable insights.

Keywords: 3 column osteotomy; Adult spinal deformity; Mortality; Pedicle Subtraction osteotomy.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests. Conflict of interest: The authors have no conflict of interests regarding this paper to disclose.

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References

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