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Medical optimization of modifiable risk factors before thoracolumbar three‑column osteotomies: an analysis of 195 patients Andre M. Samuel1 · Noor Maza2 · Avani S. Vaishnav1 · Francis C. Lovecchio1 · Yahya A. Othman1 · Steven J. McAnany1,3 · Sravisht Iyer1,3 · Todd J. Albert1,3 · Catherine Himo Gang1 · Sheeraz A. Qureshi1,3 Received: 31 December 2019 / Accepted: 4 April 2020 © Scoliosis Research Society 2020

Abstract Purpose  To determine the rate of preoperative modifiable laboratory abnormalities (both major and minor) and the association with early postoperative medical and surgical complications. Methods  All patients undergoing thoracolumbar three-column osteotomy between 2013 and 2016 with preoperative laboratory data were identified. Potential preoperative modifiable laboratory abnormalities (major and minor) were assessed including hyponatremia (sodium 

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