Dr. Spencer Woolwine, an expert in adult spinal deformity, joins the discussion to delve into the nuances of assessing and treating spinal issues. They highlight how many patients remain asymptomatic until advanced stages, with family members often spotting early signs. The conversation covers critical imaging techniques, including sagittal plane measurements, and stresses the importance of pelvic incidence in spinal alignment. Surgical options and indications are also explored, emphasizing the restoration of lumbar lordosis for optimal patient outcomes.