# Advances in Posteromedial Translation for Multiplanar Scoliosis Correction: Technique, Outcomes, and Future Directions

## TL;DR

This paper reviews the development and outcomes of posteromedial translation in scoliosis surgery, highlighting its benefits and limitations.

## Contribution

The paper provides a comprehensive review of PMT's evolution, biomechanics, and clinical outcomes in scoliosis correction.

## Key findings

- PMT effectively corrects coronal deformity and restores thoracic kyphosis.
- Sublaminar devices carry neurological risks and implant-related complications.
- PMT's rotational correction efficacy varies and remains a limitation.

## Abstract

Posteromedial translation (PMT) is a widely utilized corrective technique in scoliosis surgery, offering a versatile approach to 3D deformity correction. Since its initial description, this technique has undergone significant evolution, incorporating various instrumentation systems such as sublaminar wires, polyester bands, hooks, claws, and pedicle screws. Posteromedial translation enables effective coronal correction, restoration of thoracic kyphosis, improvement of cervical lordosis, and rotational realignment, while minimizing stress on individual fixation points. Nevertheless, limitations remain, including neurological risks with sublaminar devices, implant-related complications, and varying efficacy in rotational correction. This comprehensive review examines the historical development, biomechanical principles, indications, instrumentation advancements, clinical outcomes, complications, and future perspectives of PMT in scoliosis surgery.