Over the past 3 decades the sagittal plane has received increasing attention from the scientific community and spine surgeons alike. There remains a lack of clear and concise methods for incorporating surgical techniques and radiographic parameters to achieve the best possible outcome on a patient-specific level. This article proposes a new method for a treatment approach to sagittal malalignment by incorporating new digital tools for surgical planning. This technique offers a consistent approach to adult spinal deformity with sagittal-plane components, and can permit optimization in consistently achieving proper postoperative spinopelvic alignment.
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