Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a desirable option to manage advanced degenerative diseases. MISS techniques minimize blood loss, surgical site pain, and speed recovery. Thus, the marriage of MISS with adult spinal deformity was a natural one. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough that no comprehensive texts have addressed the unique challenges faced by surgeons exploring this evolving field. This book will fill the gap.This book offers a thorough introduction to minimally invasive spine surgery (MISS) as a desirable option for managing advanced degenerative diseases. Shows how MISS techniques minimize blood loss, help reduce surgical site pain and speed recovery.Deformity Surgery Principles: The epidemiology of adult spinal deformity?and the aging population.- Classification scheme for scoliosis.- Indications for surgery.- Sagittal balance.- Lumbopelvic parameters.- Importance of the fractional curve.- Importance of the fractional curve.- Radiation safety.- Impact of MIS surgery on costs.- Percutaneous Segmental Fixation:? Fluoroscopic techniques.- Image guidance.- Nuances of thoracolumbar screw placement.- Rod contouring, passage, and connection.- Percutaneous pelvic screw fixation.-?Managing osteoporotic bone.-?Use of cement in MIS deformity surgery.- Posterior Approaches:?Interbody cage options.- Multi-level TLIF for spinal deformity.- Expandable cages for thoracic spinal deformity.- Expandable cages for lumbar spinal deformity.- Lumbar endoscopic fusion.- Osteotomy techniques.- Lateral Approaches: Thoracoscopic approaches.- Role of neuromonitoring.- Single incision approach to the lumbar spine.- Dual incision approach to the lumbar spine.- Which side to approach from?- Stand-alone lateral surgery for deflS%