Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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barely touched by the sacral vertical line, the adjacent disk space should be evaluated further. If the proximal disk space is lordotic, the “barely touched" SSV is still a safe choice’ ( 2 ). After the distal fusion level is selected, maintaining
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Introduction The management of spinal deformity is a challenging issue for spine surgeons. Diagnosis, surgical decision, surgical approach, appropriate surgical technique, decision for fusion levels, or for hardware choice are all confusing
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et al reported that patients who developed ASD had significantly less lordosis both at the index fusion level and regionally compared to matched controls. 66 Kim et al 8 , in a study evaluating ASD after fusion in patients with L4-L5
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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. This also increased the axial, sagittal and torsional stiffness of the construct. 52 The use of this technique obviates the need for a long construct ( Fig. 6 ). Some authors described even shorter constructs to decrease fusion levels. Wei et al