{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:29:30Z","timestamp":1781612970924,"version":"3.54.5"},"reference-count":40,"publisher":"The Korean Spinal Neurosurgery Society","issue":"2","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82272545"],"award-info":[{"award-number":["82272545"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82502981"],"award-info":[{"award-number":["82502981"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["NS"],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:p>Objective: To compare perioperative and complication outcomes, focusing on the prevention of sagittal translation (ST), between a novel \u201cprioritized correction with multiple-rod construct\u201d (PC-MRC) technique and traditional multiple-rod constructs (M-RC) in adult spinal deformity (ASD) patients undergoing 3-column osteotomies (3-COs).Methods: In this retrospective study, 101 ASD patients with a minimum 2-year follow-up after 3-COs were divided into 2 groups: PC-MRC (n=65) and M-RC (n=36). The PC-MRC technique involved initial osteotomy closure with short rods followed by global alignment correction with long rods. Radiographic and clinical parameters were assessed preoperatively, postoperatively, and at final follow-up.Results: The PC-MRC group had significantly shorter operation time and lower estimated blood loss (p=0.045 and p=0.007, respectively). Major coronal and kyphotic deformity correction rates were similar between groups. No significant correction loss occurred at the final follow-up. Crucially, the incidence of ST was significantly lower in the PC-MRC group (1.5% vs. 25.0%, p&lt;0.001). Correspondingly, the overall rate of neurological injury was lower in the PC-MRC group (7.7% vs. 22.2%, p=0.037).Conclusion: The PC-MRC technique offers a versatile and rigid fixation for 3-COs in ASD patients, facilitating significant correction of global deformity. This straightforward technique effectively prevents massive blood loss and ST caused by 3-COs, while minimizing the risk of neurological complication.<\/jats:p>","DOI":"10.14245\/ns.2551794.897","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:07:03Z","timestamp":1777421223000},"page":"444-458","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Prioritized Correction at Osteotomy Site: A Novel Technique for Preventing Sagittal Translation During 3-Column Osteotomies in Adult Spinal Deformity Surgery"],"prefix":"10.14245","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9550-4967","authenticated-orcid":true,"given":"Chen","family":"Ling","sequence":"first","affiliation":[{"name":"Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, China"},{"name":"Division of Spine Surgery, 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