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Crossing the Bridge From Degeneration to Deformity: When Does Sagittal Correction Impact Outcomes in Adult Spinal Deformity Surgery?

Tyler K Williamson,Oscar Krol,Peter Tretiakov,Rachel Joujon-Roche,Bailey Imbo,Salman Ahmad,Stephane Owusu-Sarpong,Jordan Lebovic,Rivka Ihejirika-Lomedico,Michael Dinizo,Shaleen Vira,Ekamjeet Dhillon,Brooke O'Connell,Constance Maglaras,Andrew J Schoenfeld, Muhammad Burham Janjua,Nima Alan,Bassel Diebo,Carl Paulino, Justin S Smith,Tina Raman,Renaud Lafage,Themistocles Protopsaltis,Virginie Lafage,Peter G Passias

Spine（2023）

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Abstract
Our study highlighted point may be present at which sagittal correction has an outsized influence on clinical improvement, reflecting the line where deformity becomes a significant contributor to disability. These new thresholds give us insight into which patients may be more suitable for sagittal correction, as opposed to intervention for the spondylotic process only, leading to a more efficient utility of surgical intervention for ASD.
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Key words
adult spinal deformity (ASD),clinical outcomes,realignment,mechanical complications,reoperations,junctional failure,3
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