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This case shows that there must be due consideration of the small pedicle at L1 when it is chosen as the LIV. Several factors can contribute to the occurrence of a fracture through an instrumented pedicle. This case shows that there must be due consideration of the small pedicle at L1 when it is chosen as the LIV. Evaluate costs and functional utility of post-discharge rehabilitation after surgery for adult spinal deformity (ASD). Retrospective analysis of ASD patients who underwent operation at a single center and discharged to one reha