ArticleSpine deformity2022
Benchmarking surgical indications for adolescent idiopathic scoliosis across time, region, and patient population: a study of 4229 cases.
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 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- Proportion of lumbar end vertebra tilt to overall Cobb angle predicts spontaneous lumbar correction.Spine deformity · 2026Article
- Surface topography demonstrates gradual improvement in spinal range of motion in all three planes following posterior spinal fusion in adolescent idiopathic scoliosis.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 · 2025Article
- What imaging does my AIS patient need? A multi-group survey of provider preferences.Spine deformity · 2025Article
- A novel classification of congenital cervicothoracic scoliosis: identification of coronal subtypes and their prognostic significance.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 · 2024Article
- Clinical Consequences of Unreconstructed Pelvic Defect Caused by Osteosarcoma with Subsequent Progressive Scoliosis in a Pediatric Patient-Case Report.Children (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is no identified consensus for the curve magnitude at which an adolescent idiopathic scoliosis (AIS) patient is indicated for posterior spinal fusion (PSF). We aimed to identify a benchmark for curve magnitude at which fusion is indicated; we also aimed to evaluate which patients were being fused under 50°.
methodsA prospective multicenter AIS database was queried to identify patients who underwent PSF for AIS. Clinical outcome and demographic information was collected along with anatomic area of the primary curve. Benchmarking was assessed by median and IQR. Patients were stratified by fusion prior to 50° or at 50° or more, and statistical analysis was performed to assess risk factors for fusion < 50°.
results4229 patients were included in the analysis. The median indication for PSF in the thoracic curve cohort was 55°, and in the lumbar curve cohort was 51°. Site-specific evaluation showed that two sites were more likely to fuse < 50° compared to all other sites (p < 0.05). Over time, the percentage of patients being fused < 50° has declined (p < 0.05). On univariate and multivariate analysis, lumbar curve location, increasing Risser score and female sex were all risk factors for fusion < 50° (p < 0.05). Low SRS-24 scores did not correlate to fusion below 50°.
conclusionThere exist location-specific indications for posterior spinal fusion that vary throughout the country. Additionally, increasing maturity, female sex, and lumbar curve location are independent risk factors for fusion under 50°.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.