PreOperative Planning for Adult Spinal Deformity Goals: Level Selection and Alignment Goals.

Adult Spinal Deformity (ASD) is a complex pathologic condition with significant impact on quality of life, including pain, loss of function, and fatigue. Achieving realignment goals is crucial for long-term results. Reliable preoperative planning strategies, including nomograms, measurement tools, and level selection, are key to maximizing the likelihood of achieving a good outcome following ASD corrective surgery. This review covers recent literature on such strategies, including review of the different targets for realignment and their association with outcomes (both patients-reported outcomes and complications), selection of upper and lower instrumented vertebrae, and the latest innovation in preoperative planning for deformity surgery. Copyright © 2023 Elsevier Inc. All rights reserved.

Citation

Jay Dalton, Ayman Mohamed, Noel Akioyamen, Frank J Schwab, Virginie Lafage. PreOperative Planning for Adult Spinal Deformity Goals: Level Selection and Alignment Goals. Neurosurgery clinics of North America. 2023 Oct;34(4):527-536

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PMID: 37718099

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