Raad M, et al. - Researchers gauged the relationships of preoperative narcotic use with outcomes following adult spinal deformity (ASD) surgery. They retrospectively analyzed a multicenter database of surgical ASD patients for those with self-reported data on preoperative narcotic use. Findings suggested a connection between daily narcotic use before ASD surgery with prolonged length of hospital stay, longer intensive care unit stays, and increased risk of daily narcotic use and greater disability 2 years postoperatively. Daily narcotic users were older, had more comorbidities, more severe back pain, higher Oswestry Disability Index scores, longer operative times, and worse preoperative malalignment and were more likely to undergo 3-column osteotomy vs non-daily users.