TY - JOUR
T1 - Level selection for optimal adult spinal deformity correction
T2 - A narrative review
AU - Dalton, Jonathan
AU - Fourman, Mitchell S.
AU - Lyons, Keith
AU - Sarmiento, J. Manuel
AU - Lovecchio, Francis
AU - Akosman, Izzet
AU - Shaw, Jeremy
AU - Dowdell, James
N1 - Publisher Copyright:
© 2022
PY - 2022/12
Y1 - 2022/12
N2 - Adult spine deformity (ASD) is the loss of the normal sagittal and coronal alignment necessary to maintain the head over the hips. ASD increases energy expenditure to maintain normal balance and horizontal gaze, and can lead to chronic pain, fatigue, and significant functional disability. Selection of upper and lower instrumented levels for ASD constructs is critical to achieving and maintaining an optimal post-operative alignment. While classifications and recommendations have improved level selection strategies, decision-making still remains largely dependent on the individual surgeon. This work summarizes available literature on level selection for ASD constructs.
AB - Adult spine deformity (ASD) is the loss of the normal sagittal and coronal alignment necessary to maintain the head over the hips. ASD increases energy expenditure to maintain normal balance and horizontal gaze, and can lead to chronic pain, fatigue, and significant functional disability. Selection of upper and lower instrumented levels for ASD constructs is critical to achieving and maintaining an optimal post-operative alignment. While classifications and recommendations have improved level selection strategies, decision-making still remains largely dependent on the individual surgeon. This work summarizes available literature on level selection for ASD constructs.
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U2 - 10.1016/j.semss.2022.100987
DO - 10.1016/j.semss.2022.100987
M3 - Article
AN - SCOPUS:85139195185
SN - 1040-7383
VL - 34
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
IS - 4
M1 - 100987
ER -