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acolumbar kyphosis.Level of Evidence 2. One-level PSO might be appropriate for selected severe AS-related kyphosis patients with GK less then 94°, SVA less then 18.0 cm, and LL less then 18°. This finding might be beneficial for surgical decision-making in performing one-level PSO, a relatively less risky procedure, to reconstruct the ideal sagittal alignment in AS patients with severe thoracolumbar kyphosis.Level of Evidence 2. Prospective comparative study. The aim of this study was to compare the spatiotemporal, kinematic,