Abstract
Minimally invasive surgery for adult spinal deformity has become an increasingly popular technique to treat this complex patient population. The use of lateral lumbar interbodies fusion has become the most valuable technique to achieve deformity correction by manipulating the anterior column. The LLIF technique allows for both coronal and sagittal plane deformity correction while providing a large load bearing surface for stability and an optimal environment for fusion. If severe sagittal plane deformities are encountered then the anterior column realignment technique with release of the anterior longitudinal ligament can be used in carefully selected patients to achieve the desired alignment goals. Ultimately patient selection and surgeon experience will play an important role in the successful completion of minimally invasive LLIF for adult spinal deformity
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