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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Plastic Deformations01:19

Plastic Deformations

Plastic deformation represents a fundamental concept in materials science, which explains the irreversible change in the shape of a material when it experiences stress beyond its elastic capability. This phenomenon is important in structural engineering, especially in designing and analyzing cantilever beams—structures that are securely fixed at one end and bear loads at the opposite end. When these beams are subjected to loads within their elastic range, they will return to their original...
Decision Making01:20

Decision Making

Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Related Experiment Video

Updated: Jun 30, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Decision making in adult deformity.

Robert F Heary1, Sanjeev Kumar, Christopher M Bono

  • 1Department of Neurological Surgery, University of Medicine & Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07103, USA. heary@umdnj.edu

Neurosurgery
|October 2, 2008
PubMed
Summary

Adult spinal deformity surgery focuses on pain relief and neurological decompression, prioritizing sagittal balance over absolute curve correction. Posterior approaches with osteotomies and pedicle screws offer improved correction for fixed spinal deformities.

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Last Updated: Jun 30, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Adult spinal deformities differ from adolescent ones, presenting with fixed curves and often causing pain and neurological issues.
  • Surgical goals for adults include pain relief, neurological decompression, and restoration of spinal balance.

Purpose of the Study:

  • To discuss surgical considerations for adult spinal deformities, emphasizing preoperative decision-making and modern surgical techniques.
  • To highlight the shift towards posterior approaches and their advantages in correcting fixed spinal deformities.

Main Methods:

  • Review of surgical approaches for adult spinal deformity.
  • Discussion of advancements like osteotomy techniques and pedicle screw instrumentation.
  • Consideration of preoperative factors including surgical approach, timing, and construct endpoints.

Main Results:

  • Posterior approaches, enhanced by osteotomies and pedicle screw instrumentation, allow for greater correction of fixed spinal deformities.
  • Sagittal balance is more critical than absolute coronal correction in adult spinal deformity surgery.
  • Optimal surgical timing and levels remain subjects of ongoing debate.

Conclusions:

  • Individualized treatment is essential for adult spinal deformity, balancing coronal correction with sagittal and three-dimensional spinal balance.
  • Advances in surgical techniques have improved outcomes for adult spinal deformity correction.
  • Further research is needed to determine optimal surgical timing and levels for treatment.