{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T01:50:06Z","timestamp":1782352206273,"version":"3.54.5"},"reference-count":54,"publisher":"SAGE Publications","issue":"2_suppl","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Review of the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Anterior column realignment (ACR) is a powerful but relatively new minimally invasive technique for deformity correction. The purpose of this study is to provide a literature review of the ACR surgical technique, reported outcomes, and future directions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A review of the literature was performed regarding the ACR technique. A review of patients at our single center who underwent ACR was performed, with illustrative cases selected to demonstrate basic and nuanced aspects of the technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Clinical and cadaveric studies report increases in segmental lordosis in the lumbar spine by 73%, approximately 10\u00b0 to 33\u00b0, depending on the degree of posterior osteotomy and lordosis of the hyperlordosis interbody spacer. These corrections have been found to be associated with a similar risk profile compared with traditional surgical options, including a 30% to 43% risk of proximal junctional kyphosis in early studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>ACR represents a powerful technique in the minimally invasive spinal surgeon\u2019s toolbox for treatment of complex adult spinal deformity. The technique is capable of significant sagittal plane correction; however, future research is necessary to ascertain the safety profile and long-term durability of ACR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568219880178","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T16:16:07Z","timestamp":1590682567000},"page":"101S-110S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Minimally Invasive Anterior Longitudinal Ligament Release for Anterior Column Realignment"],"prefix":"10.1177","volume":"10","author":[{"given":"Jakub","family":"Godzik","sequence":"first","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo de Andrada","family":"Pereira","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Hemphill","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey T.","family":"Walker","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua T.","family":"Wewel","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay D.","family":"Turner","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8910-6578","authenticated-orcid":false,"given":"Juan S.","family":"Uribe","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,28]]},"reference":[{"key":"bibr1-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2016.11.005"},{"key":"bibr2-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000160842.43482.cd"},{"key":"bibr3-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000179086.30449.96"},{"key":"bibr4-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3670-7"},{"key":"bibr5-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181a9c7ad"},{"key":"bibr6-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e318287bdc1"},{"issue":"8","key":"bibr7-2192568219880178","first-page":"S66","volume":"41","author":"Saigal R","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"bibr8-2192568219880178","doi-asserted-by":"publisher","DOI":"10.3171\/2012.8.SPINE111121"},{"key":"bibr9-2192568219880178","doi-asserted-by":"publisher","DOI":"10.3171\/2011.3.SPINE10425"},{"key":"bibr10-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3842-0"},{"key":"bibr11-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000182o"},{"key":"bibr12-2192568219880178","doi-asserted-by":"publisher","DOI":"10.3171\/2018.4.SPINE171206"},{"key":"bibr13-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3872-7"},{"key":"bibr14-2192568219880178","doi-asserted-by":"publisher","DOI":"10.3171\/2012.8.SPINE12432"},{"key":"bibr15-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3962-6"},{"key":"bibr16-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.05.122"},{"key":"bibr17-2192568219880178","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2017.02.006"},{"key":"bibr18-2192568219880178","unstructured":"Godzik J, de Andrada Pereira B, Newcomb A, et al. 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