ArticleGlobal spine journal2024
Is Lenke Rule About Selective Thoracic Fusion Applicable for Younger Adult Idiopathic Scoliosis Under 40 Years of Age: Comparison With Adolescent Patients.
Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 2 citations in OpenAlex.
- The touched vertebra method for lower instrumented vertebra selection in adult idiopathic scoliosis using preoperative upright and supine radiographs.Spine deformity · 2026Article
- Age matters: increased perioperative morbidity in young adults compared to adolescents undergoing posterior spinal fusion for idiopathic scoliosis.Spine deformity · 2026Article
- Fracture of robust fusion mass after sequential long-construct instrumentation removal: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective study.
objectiveTo evaluate the surgical outcomes of younger adult idiopathic scoliosis patients (YAdIS) with selective thoracic fusion by comparing them with adolescent idiopathic scoliosis (AIS).
methodsSeventy-two idiopathic scoliosis patients (36 adults and 36 adolescents) treated by posterior-only all-pedicle screw technique were retrospective reviewed and matched by fusion levels. Radiographic parameters were evaluated preoperatively, postoperatively, and at final follow-up. Operating time, blood loss, transfusion, and complications were noted. The clinical outcome was assessed by the Scoliosis Research Society-22 questionnaire (SRS-22).
resultsThe major thoracic curves in YAdIS and AIS groups were 56.3° ± 9.7°, 53.3° ± 10.1° and corrected to 17.2° ± 7.3°, 14.9° ± 7.5° respectively without significant difference in correction rate (69.3% vs 72.0%). For the lumbar curve, Cobb angles in 2 groups were 35.6° ± 10.1°and 31.4 ± 9.2° preoperatively, and were spontaneously corrected to 18.5° ± 9.0° and 12.6° ± 8.2°.Correction rates were 48.0% and 59.8% (
conclusionsYAdIS can also be treated very well with selective thoracic fusion based on the Lenke rule used for AIS.
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