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Poor sagittal alignment has been shown to correlate highly with poor preoperative and postoperative patient-reported outcomes.
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Surgical techniques exist to correct sagittal alignment, including osteotomies; however, there is a lack of a clear standardized methodology for planning and executing surgical corrections.
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New digital tools can make surgical planning, in particular osteotomy planning, more effective and accurate.
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This article offers a logical and thoughtful process in surgical planning
Use of Surgimap Spine in Sagittal Plane Analysis, Osteotomy Planning, and Correction Calculation
Section snippets
Key points
Case Presentation
The patient is a 73-year-old man complaining of low back pain for about 7 years. The patient feels he also has marked truncal shift anteriorly. He underwent spine surgery with an interspinous device in 2008 and experienced mild relief of some leg pain, but over time, particularly the last 4 years, he has noted increasing low back pain (7 out of 10 on a visual analog scale), with fatigue to the lower extremities and loss of standing and ambulatory endurance. The patient denies any neurologic
Summary
Surgical planning should not be simply an academic or purely theoretical exercise. It is critical that surgeons adopt planning tools to encourage better outcomes for their patients. This article offers a pragmatic and systematic approach involving measurement of the key spinopelvic parameters, evaluation if the compensatory mechanisms, identification of the amount of correction needed, and selection of surgical tools needed to achieve outlined objectives.
Depending on the severity of sagittal
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