How I Fix Spinopelvic Abnormalities With Hyperlordotic Cages

In recent years, normalization of spinopelvic parameters has become a significant focus in the treatment of adult spinal deformity (ASD). Numerous studies have shown that by correcting those parameters, the patient-reported outcomes have statistically improved significantly. However, very little is published about the actual technique used to accomplish this task. In this article, we present the case of a patient with significant spinopelvic parameter abnormalities. We will discuss step-by-step how the case was analyzed preoperatively and the steps taken during surgery to achieve our goals. We will also discuss some pitfalls and how to avoid them. Short-term post-operative films are used to demonstrate the effectiveness of our technique and decision making process.