From the Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA.

Correspondence to Dr. Lambrechts: [email protected]

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Siegel, Lambrechts, Issa, Karamian, Wang, Carter, Lieb, Zaworski, Dambly, Canseco, Woods, Kaye, Rihn, Kurd, Hilibrand, Kepler, Vaccaro, and Schroeder.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.jaaos.org).

Ethical Board Review Statement: This study was approved by the Institutional Review Board at the Thomas Jefferson University Hospital. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

Previous Presentations: This work has not previously been presented in part or in full, but it has been accepted for podium presentation at the North American Spine Society (NASS) in October 2022.

Institutional Review Board: Approval was granted by the IRB at Thomas Jefferson University on July 15, 2019, with expedited status. The IB was given 45 CFR 46.109(f) (1) status, and since it is a minimal risk research study, patient consent was not required for inclusion. The study registration number is Control #19D.508.