ArticleJournal of clinical medicine2022
At Mean 30-Year Follow-Up, Cervical Spine Disease Is Common and Associated with Thoracic Hypokyphosis after Pediatric Treatment of Adolescent Idiopathic Scoliosis.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- In Correction Surgery for Adolescent Idiopathic Scoliosis with Lenke Type 1 and 2 curves, Obtaining Kyphosis in the Upper Thoracic Spine Is Important for Preventing Postoperative Cervical Kyphosis.Spine surgery and related research · 2026Article
- A wide posterior release is associated with better kyphosis restoration in the surgical treatment of adolescent idiopathic scoliosis.Spine deformity · 2025Article
- Lateral view fulcrum bending radiographs predict postoperative hypokyphosis after selective thoracic fusion in adolescent idiopathic scoliosis.Asian spine journal · 2025Article
- Development of a model for measuring sagittal plane parameters in 10-18-year old adolescents with idiopathic scoliosis based on RTMpose deep learning technology.Journal of orthopaedic surgery and research · 2025Article
- Transitioning spine care from the pediatric to adult center: Challenges and future directions.Health care transitions · 2025Article
- Article
- Patient-Specific Surgical Correction of Adolescent Idiopathic Scoliosis: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Analysis of odontoid parameters in adolescent idiopathic scoliosis patients with different curve types.Frontiers in pediatrics · 2024Article
- The Risk and Benefits of Various Innovations in Fusion and Fusionless Surgery for AIS.Journal of clinical medicine · 2023Article
- Assessment of posterior odontoid tilt: Think scoliosis.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Patients with adolescent idiopathic scoliosis (AIS) often have reduced sagittal thoracic kyphosis (hypokyphosis) and cervical lordosis causing an uneven distribution of physiologic load. However, the long-term consequences of hypokyphosis in AIS patients have not been previously documented. To evaluate whether uneven load distribution leads to future complications in patients with AIS, we conducted a retrospective chart review and subsequently surveyed 180 patients treated for idiopathic scoliosis between 1975 and 1992. These patients all had a minimum follow-up time of 20 years since their treatment. We observed a ten-fold increase in the incidence of anterior cervical discectomy and fusion (ACDF) compared to reported rates in the non-pathologic population. Out of the 180 patients, 33 patients met the criteria and returned for follow-up radiographs. This population demonstrated a statistically significant increased rate of cervical osteoarthritis and disc degeneration. Overall, our study suggests that hypokyphosis in patients with AIS presents with increased rates of cervical spine degeneration and dysfunction, suggesting that these patients may require additional follow-up and treatment.
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Registered trials
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