Scoliosis Instrumentation Systems

Living reference work entry


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.


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


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Authors and Affiliations

  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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