title: Load sharing principles: the role and use of anterior structural support in adult deformity.
abstract: The goals of load sharing are to restore balance between posterior tension and anterior compression, ideally to maintain the instantaneous axis of rotation just posterior to the anulus and to thereby minimize the forces on the reconstruction. To accomplish this, the surgeon should understand the anatomic column deficiencies of the patient's pathology and the appropriate options for anterior and posterior reconstruction.
authors.affiliation: Washington University School of Medicine, St. Louis, Missouri, USA.
authors.forename: K H
authors.initials: KH
authors.lastname: Bridwell
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D006801:Humans; D016268:Internal Fixators; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013168:Spondylolisthesis / Q000503:physiopathology / Q000601:surgery; D014182:Transplantation, Autologous / Q000379:methods; D016474:Weight-Bearing