ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Surgical outcome differences between the 3D subtypes of right thoracic adolescent idiopathic scoliosis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Patient and surgical predictors of 3D correction in posterior spinal fusion: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Proximal junctional kyphosis in pediatric spinal deformity surgery: a systematic review and critical analysis.Spine deformity · 2022Pooled it
- 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances.Orthopaedic surgery · 2025Review
- Quantifying a novel three-dimensional marker of scoliosis.Spine deformity · 2024Article
- Selection of Fusion Levels in Adolescent Idiopathic Scoliosis.Current reviews in musculoskeletal medicine · 2024Review
- Long-Term Follow-up of Posterior Selective Thoracolumbar/Lumbar Fusion in Patients With Lenke 5C Adolescent Idiopathic Scoliosis: An Analysis of 10-Year Outcomes.Global spine journal · 2022Article
- Discovering the association between the pre- and post-operative 3D spinal curve patterns in adolescent idiopathic scoliosis.Spine deformity · 2021Article
- Three-dimensional classification of the Lenke 1 adolescent idiopathic scoliosis using coronal and lateral spinal radiographs.BMC musculoskeletal disorders · 2020Article
- Defining criteria for optimal lumbar curve correction following the selective thoracic fusion surgery in Lenke 1 adolescent idiopathic scoliosis: developing a decision tree.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- 3D Deformation Patterns of S Shaped Elastic Rods as a Pathogenesis Model for Spinal Deformity in Adolescent Idiopathic Scoliosis.Scientific reports · 2019Article
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2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current classifications of adolescent idiopathic scoliosis (AIS) aim to guide surgical decision making. However, variance exists within treatment recommendations and suboptimal outcomes have been observed while following these guidelines based on two-dimensional images. We used previously developed 3D classification for right thoracic AIS patients and aimed to determine the variation in surgical decision making and the risk of suboptimal outcomes in each subtype according to our classification.
methodsSeventy-six right thoracic AIS patients with 2-year follow-up were included retrospectively. Five 3D preoperative subgroups were determined based on a previous classification system. The upper and lower instrumented vertebrae (UIV and LIV) and the radiographic surgical outcomes at 2-year [frontal balance (FB), proximal junctional kyphosis (PJK), and adding on] were compared between the subtypes.
resultsThe fusion length and the rate of radiographic suboptimal outcomes were statistically different between the five groups. LIV at T12 in Type 1 and UIV at T2 in Type 2 were associated with improved FB and lower PJK, respectively. Type 3 had the highest rate of suboptimal FB and developing PJK. Type 4 had the longest fusion, and suboptimal FB was observed in 42% of the patients independent from the LIV level. Type 5 had the lowest rate of unsatisfactory radiographic outcomes at 2 years.
conclusionFollowing the preoperative 3D classification of the AIS patients, we showed that the UIV and LIV selection has a different impact on the surgical outcomes in each of the five subtypes. The proposed 3D classification has the potential for risk stratification following a posterior spinal surgery in right thoracic AIS. These slides can be retrieved under Electronic Supplementary Material.
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