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Scoliosis Instrumentation Systems

  • Rajbir Singh Hundal
  • Mark Oppenlander
  • Ilyas Aleem
  • Rakesh PatelEmail author
Living reference work entry
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Abstract

Adult spinal deformity is a complex deformity that involves three-dimensional deformation in coronal, sagittal, and axial planes. Spinal and spinopelvic parameters such as SVA, pelvic tilt, pelvic incidence, and lumbar lordosis are important in understanding, characterizing, and treating adult spinal deformity. Treatment of adult spinal deformity needs to be tailored to each patient with respect to the nature of the curve and the patients’ overall medical health. Operative techniques have changed substantially with time, from the early use of Harrington rods to modern pedicle screws. Multiple osteotomies (SPO, PSO, and VCR) can be applied for the desired level of spinal correction. Operative management of adult spinal deformity is wrought with complexity and severe complications. Newer techniques involving minimally invasive surgery and interbody fusions are being increasingly used for deformity correction. In this chapter, we will discuss such operative techniques for spinal deformity correction.

Keywords

Adult deformity Scoliosis correction Corrective osteotomy Minimally invasive surgery (MIS) correction 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rajbir Singh Hundal
    • 1
  • Mark Oppenlander
    • 1
  • Ilyas Aleem
    • 1
  • Rakesh Patel
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryUniversity of MichiganAnn ArborUSA

Section editors and affiliations

  • Don K. Moore
    • 1
  • William C. Welch
    • 2
    • 3
  1. 1.Department of Orthopaedic SurgeryUniversity of Missouri Health CareColumbiaUSA
  2. 2.Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of NeurosurgeryPennsylvania HospitalPhiladelphiaUSA

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