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Alpaslan Senkoylu Gazi University Faculty of Medicine, Ankara, Turkey

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Mehmet Cetinkaya Erzincan University, Mengucek Gazi Education and Research Hospital, Erzincan, Turkey

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each pedicle screw or hook one by one. As the screws are connected to the rods, the spine begins to take the shape of the rods and comes into the desired sagittal and coronal alignment. In severe curves, connecting the screws to the rods may be

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Kaustubh Ahuja Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Syed Ifthekar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Samarth Mittal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Gagandeep Yadav Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Bhaskar Sarkar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Pankaj Kandwal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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instability in the present study. Pan-vertebral involvement can be identified in plain radiographs as disturbed sagittal or coronal alignment such as severe kyphosis, scoliosis or antero-posterior or lateral translation. 5 , 19 , 37 Rajasekaran defined

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