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Amer Sebaaly School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sarah Farjallah Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Khalil Kharrat Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Gaby Kreichati School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Mohammad Daher School of Medicine, Saint Joseph University, 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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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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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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Eduardo Moreira Pinto Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Artur Teixeira Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Ricardo Frada Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Pedro Atilano Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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António Miranda Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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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

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Guillaume Riouallon Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Zhi Wang Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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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

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