Gupta A, Cha T, Schwab J, et al. - A retrospective comparative study was conducted to ascertain the rate and timing of revision surgery in osteoporotic and nonosteoporotic patients following a long fusion for the adult spinal deformity (ASD). Researchers included ASD patients who had undergone a long spinal fusion surgery at two large academic medical centers from 2010 to 2019. A total of 399 patients were included in the study. The results of this study exhibited that ASD individuals with osteoporosis have an elevated risk of undergoing revision for a surgery-related complication within 2 years of the index procedure. The findings suggested that these complications included the failure of hardware, pseudoarthrosis, proximal junction failure, and infection, among other issues that needed surgical intervention. The data further underscore the importance of preoperative osteoporosis surveillance. Future study is required to illustrate that improving patients’ bone density can reduce the incidence of related complications and the need or revision surgery.