This is an excellent case to consider. Although her imaging studies clearly show her spinal alignment is suboptimal, she does not have back pain and only presents with a radiculopathy. Therefore, Dr. Kim's choice to treat only the radiculopathy is most appropriate. It would be completely unreasonable to perform a major realignment and reconstruction at this point in time. Unfortunately, for this woman, at some point in her life, she will probably require more extensive surgery. However, as time passes, the techniques will improve and as that occurs, one would expect the risk of complication to decrease. Therefore, to allow her to be fully active at this time without a large fusion is the best choice.