SummaryThis article from The Journal of Bone and Joint Surgery discusses the importance of sagittal alignment in the treatment of degenerative lumbar spine pathologies, such as degenerative disc disease and spondylolisthesis. The authors advocate for a detailed assessment of segmental lordosis and pelvic incidence, which influences the optimal surgical approach and target lordosis for individual patients. They argue that restoring segmental lordosis can improve patient outcomes, decrease the incidence of adjacent segment disease, and reduce low back pain. The article also emphasizes the need for careful planning, incorporating appropriate surgical techniques, and implant selection to achieve optimal alignment and prevent iatrogenic deformities.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906213/pdf/jbjsam-106-445.pdf Beyond Electric Sheep is also available on YouTube at https://www.youtube.com/playlist?list=PLYg2J0jET_BPCKSnsxz8mleEmYogYJZhn

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