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The Hybrid Open Muscle-Sparing Approach in Adult Spinal Deformity Patients Undergoing Lower Thoracic Fusion to the Pelvis

Park PJ, Lombardi JM, Lenke LG

Proximal junctional kyphosis (PJK) is a difficult complication to manage following adult spinal deformity surgery. Particularly in spinal fusions from the lower thoracic spine down to pelvis, PJK is a...
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Management of Pseudarthrosis With Implant Failure at a Multilevel Vertebral Column Resection Site: A Case Report

Boddapati V, Lombardi JM, Lenke LG

Pseudarthrosis in the setting of 3-column osteotomies such as vertebral column resection (VCR) is not well described, and pseudarthrosis at the VCR site itself has never been reported. This study...
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Freehand Juxtapedicular Screws Placed in the Apical Concavity of Adult Idiopathic Scoliosis Patients: Technique, Computed Tomography Confirmation, and Radiographic Results

Schupper AJ, Lin JD, Osorio JA, Lee NJ, Steinberger JM, Lombardi JM, Lehman RA, Lenke LG

Objective: The purpose of this study is to highlight our technique for freehand placement of juxtapedicular screws along with intraoperative computed tomography (CT) and radiographic results. Methods: Consecutive patients with adult...
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