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A 68-year-old female with adult lumbar degenerative deformity with 30° scoliosis T12–L5 and lumbar lordosis of 28° underwent L5–S1 posterior lumbar interbody fusion, L2–L5 OLIF, and T11-S1 posterior instrumentation and decompression L2–L5. Lumbar lordosis improved by 16° and Cobb's angle improved by 28° and maintained at final followup
