Adult spinal deformity: which alignment targets still matter?
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OrthoVellum Editorial · 7d ago
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Preoperative and postoperative adult spinal deformity full-length radiographs — Credit: J Clin Med / MDPI (Journal of Clinical Medicine / MDPI), CC BY
The SRS-Schwab classification gave us sagittal modifiers (PI-LL mismatch, SVA, PT) that drove surgical goals for years, but more recent work suggests rigid adherence to all three may lead to unnecessary long fusions in older patients. For a 68-year-old with degenerative scoliosis and PI-LL mismatch but acceptable SVA, where are people drawing the line — full correction, limited anterior column realignment, or just neural decompression?
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Adult spinal deformity: which alignment targets still matter? — Community Discussion | OrthoVellum
