ArticleSpine deformity2022
Subjective perception of spinal deformity after selective versus non-selective fusion of Lenke 1C curves.
Article in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Balancing radiographic correction with quality of life: a meta-analysis of selective versus non-selective thoracic fusion in Lenke 1 C AIS.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 · 2026Pooled it
- A comparison of patients with adolescent idiopathic scoliosis and Lenke C-type lumbar curves treated with selective thoracic fusion vs non-selective fusion: a 10-year follow-up study.Spine deformity · 2026Observational
- Motion preservation and deformity correction in Lenke 1 C adolescent idiopathic scoliosis: selective versus non-selective thoracic fusion.Spine deformity · 2026Article
- The relationship between postoperative shoulder balance and coronal sacral slanting in adolescent idiopathic scoliosis patients with double structural curves.BMC surgery · 2026Article
- Counter-Rotate Technique Is Substantial for Correcting Thoracolumbar/Lumbar Curvature in AIS Patients with Thoracic Scoliosis.Journal of clinical medicine · 2025Article
- Curve progression following selective and nonselective spinal fusion for adolescent idiopathic scoliosis: are selective fusions stable?Spine deformity · 2025Article
- Impact of Different Operative Techniques for Patients With Adolescent Idiopathic Scoliosis on Frontal Curve Correction and Sagittal Balance.International journal of spine surgery · 2024Article
- Gender-Related Factors Influence the Subjective Perception of Deformity in Patients Undergoing Surgery for Idiopathic Scoliosis.Journal of personalized medicine · 2023Article
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5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the self-image perception and the Quality-of-Life (QoL) in female adolescents, with Lenke 1C scoliosis curves, treated with selective versus non-selective posterior spinal instrumentation and fusion (PSF).
methodsPatients undergoing PSF for idiopathic adolescent scoliosis (AIS) were recruited and divided into two groups: patients managed with selective thoracic fusion (STF) were included in Group A, whereas patients treated with non-selective fusion (N-STF) in Group B. Each patient completed the Italian version of the Scoliosis Research Society-22R questionnaire (SRS-22R), the Quality-of-Life Profile for Spinal Deformities questionnaire (QLPSD) and the Spinal Appearance Questionnaire (SAQ), before surgery and at 24-month follow-up.
resultsOne hundred and fifty seven female patients (mean age 16.38) were included in this study. 80 patients underwent STF, while 77 patients received N-STF. At 24-month follow-up, patients managed with N-STF showed better SRS-22R self-image mean score (p = .012), SRS-22R satisfaction mean score (p = .033), QLPSD body image mean score (p = .005), but worse SRS-22 function mean score (p = .006) and QLPSD back flexibility mean score (p = .007), compared with patients who underwent STF. In terms of self-image perception, patients undergoing STF showed significantly worse SAQ total mean score (p = .002), SAQ appearance mean score (p = .001) and SAQ expectation (p = .001). We found a significant correlation between SAQ appearance mean score and SRS-22R self-image (R = - 0.721), SRS-22 mental health (R = - 0.8), QLPSD psychosocial functioning (R = 0.7) and QLPSD back flexibility (R = 0.8).
conclusionAlthough the STF of Lenke 1C curves provides better functional outcomes, in the present study, female patients receiving STF revealed a worse perceived body image, compared with patients treated with N-STF, at 24-month follow-up. Particular attention should be addressed to the preoperative patient's mental health and body image perception, when choosing between STF and N-STF.
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