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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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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