Adult spinal deformity (ASD) is a common problem in today's aging adult population, particularly in the thoracolumbar spine. This can lead to severe pain and disability, leading to poorer quality of life. Traditionally, open deformity correction has been the mainstay of treatment for these patients as it provides an excellent operative corridor; however, this comes with severe risk and high complication rates. There has been a trend towards more minimally invasive approaches to correct the deformity while persevering the muscle and soft tissue surrounding the bony spine across the fusion.