Mirror, Mirror on the Wall…Who’s That in My Mirror?

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For years, adult spinal deformity (ASD) conversations have revolved around the usual suspects: pain scores, ODI (The Oswestry Disability Index), sagittal vertical axis, pelvic incidence — lumbar lordosis mismatch. You measure them, optimize them, debate them.

But what if the most powerful driver of surgical decision-making isn’t pain…it’s the mirror?