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Coronal Alignment in Adult Spine Surgery.

Zachary T Sharfman¹, Aaron J Clark, Munish C Gupta

¹From the Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA (Sharfman and Theologis), Department of Neurological Surgery, UCSF, San Francisco, CA (Clark), Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO (Gupta).

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|February 14, 2024

Summary

Coronal realignment in adult spine surgery is crucial for function. This review covers its evaluation, risks, and surgical strategies to improve patient outcomes.

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Area of Science:

Orthopedics
Spine Surgery
Biomechanical Engineering

Background:

Coronal alignment is critical in adult spine surgery but often secondary to sagittal plane considerations.
Coronal malalignment significantly contributes to functional disability in patients undergoing spinal procedures.

Purpose of the Study:

To provide a comprehensive review of coronal malalignment in adult spine surgery.
To detail the clinical and radiographic assessment, risk factors, and functional implications of coronal malalignment.
To outline surgical strategies for achieving optimal coronal realignment.

Main Methods:

Literature review of etiologies, assessments, risk factors, and surgical techniques for coronal malalignment.
Analysis of clinical and radiographic evaluation methods.
Synthesis of data on functional outcomes and surgical strategies.

Main Results:

Coronal malalignment presents diverse etiologies and requires thorough clinical and radiographic assessment.
Postoperative coronal malalignment is associated with significant functional deficits.
Various surgical techniques exist to address and prevent coronal malalignment.

Conclusions:

Understanding and addressing coronal alignment is paramount in adult spine surgery for optimal functional recovery.
Multifaceted approaches involving accurate assessment and tailored surgical techniques are necessary for effective coronal realignment.