Coronal Alignment in Adult Spinal Deformity Surgery: Definitions, Measurements, Treatment Algorithms, and Impact on Clinical Outcomes

The major focus of realignment in adult spinal deformity (ASD) surgery has been on the sagittal plane, and less emphasis has been given to the coronal plane. In light of this overlooked area within ASD surgery, we aimed to refocus the narrative on coronal alignment in ASD surgery. The objectives of...

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Bibliographic Details
Published inClinical spine surgery Vol. 35; no. 5; p. 196
Main Authors Zuckerman, Scott L, Cerpa, Meghan, Lai, Christopher S, Lenke, Lawrence G
Format Journal Article
LanguageEnglish
Published United States 01.06.2022
Subjects
Adult
Algorithms
Humans
Neurosurgical Procedures
Retrospective Studies
Spinal Fusion
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Summary:The major focus of realignment in adult spinal deformity (ASD) surgery has been on the sagittal plane, and less emphasis has been given to the coronal plane. In light of this overlooked area within ASD surgery, we aimed to refocus the narrative on coronal alignment in ASD surgery. The objectives of the current narrative review were to (1) define coronal alignment and discuss existing measurements; (2) report the incidence and prevalence of coronal malalignment (CM); (3) discuss the impact of CM on clinical outcomes; and (4) describe our preferred treatment algorithm of surgical correction of CM in ASD.
ISSN:2380-0194
DOI:10.1097/BSD.0000000000001175