De‑novo scoliosis requires balanced decision‑making across symptoms, alignment goals, and patient‑specific risk factors. In this expert video, Prof. Viola Bullmann,  Prof. Sven Eicker, Prof. Marcus Czabanka, and Prof. Matthias Pumberger discuss treatment pathways and surgical concepts for adult degenerative deformity. The content is designed as an educational resource linked to the thoracolumbar and sacropelvic platform context, supporting structured learning and consistent communication of treatment concepts with Ennovate® TLSP Complex Spine instruments and implants.