ReviewThe archives of bone and joint surgery2022
Shoulder Imbalance in Adolescent Idiopathic Scoliosis: A Systematic Review of the Current State of the Art.
Review in The archives of bone and joint surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Reliability of surface topography for scoliosis assessment: a systematic review and meta-analysis based on the COSMIN guideline.BMC musculoskeletal disorders · 2026Pooled it
- Does postoperative shoulder imbalance affect patient reported functional outcomes after posterior surgical correction of adolescent idiopathic scoliosis? A systematic review and meta-analysis.Spine deformity · 2025Pooled it
- Radiographic and perceptual outcomes of shoulder imbalance in AIS: bracing alone versus bracing with Schroth methods.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 · 2026Article
- Millimeter-Wave Imaging for Idiopathic Scoliosis Screening: Diagnostic Accuracy Study.JMIR pediatrics and parenting · 2026Article
- The association between scoliosis research society-22r and cosmetic parameters in female patients with 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 · 2026Article
- A regression-based equation for postoperative spontaneous correction of the unfused proximal thoracic curve in lenke types 1 and 2 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 · 2026Article
- The relationship between postoperative shoulder balance and coronal sacral slanting in adolescent idiopathic scoliosis patients with double structural curves.BMC surgery · 2026Article
- Preoperative Fulcrum Flexibility >80% Is Associated With Clinical Success in Vertebral Body Tethering.Global spine journal · 2026Article
- Fulcrum Side-Bending Radiographs as Predictors of Postoperative Shoulder Imbalance in Lenke Type 5 Adolescent Idiopathic Scoliosis.Spine surgery and related research · 2026Article
- Task-specific compensatory joint control strategies in adolescent idiopathic scoliosis during dynamic balance tasks.Scientific reports · 2026Article
- The impact of upper instrumented vertebra device type on shoulder balance in Lenke type 1 scoliosis: A comparison of hooks vs. screws.Journal of clinical orthopaedics and trauma · 2025Article
- Distal Adding-On as a Natural Shoulder Rebalancing Mechanism in Lenke Type 2A AIS with Right Sacral Slanting.Journal of clinical medicine · 2025Article
- Telerehabilitation After Surgery in Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2025Article
- Relationship between the course of postoperative pelvic axis rotation and shoulder balance in patients with Lenke types 1 and 2 adolescent idiopathic scoliosis.Journal of orthopaedics · 2025Article
- Surface vs. skeleton: the relationship between surface topographic and radiographic measurements of shoulder symmetry in patients with scoliosis.Spine deformity · 2025Article
- Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases.Journal of orthopaedic surgery and research · 2025Article
- Does levelling of T1 tilt intra-operatively affect post-operative shoulder balance in adolescent idiopathic scoliosis patients?Spine deformity · 2024Article
- Does levelling of T1 tilt intra-operatively affect post-operative shoulder balance in adolescent idiopathic scoliosis patients?Spine deformity · 2024Article
- Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation.Frontiers in surgery · 2024Article
- Outcomes of 12 Weeks of Schroth and Asymmetric Spinal Stabilization Exercises on Cobb Angle, Angle of Trunk Rotation, and Quality of Life in Adolescent Boys with Idiopathic Scoliosis: A Randomized-controlled Trial.The archives of bone and joint surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Shoulder imbalance (SI) is among the most rated manifestations of adolescent idiopathic scoliosis (AIS) pointed to by patients and spine surgeons. It serves as a criterion to assess the outcome of scoliosis surgery and is also a cause of dissatisfaction for the patients postoperatively. Despite the availability of multiple studies on this issue, a comprehensive survey of the risk factors and preventive measures has yet to be elucidated. The present study aimed to highlight the most recent approach to the evaluation and management of SI, as well as medical counseling about the expectations and limitations of the surgery. Methods: A systematic literature review using electric databases was conducted, including PubMed, Embase, the Cochrane Library, and Google Scholar, with a well-defined search strategy on SI definition, risk factors, and preventive and surgical recommendations. Results: A total of 69 articles were identified; SI > 2 cm was the most used cut-off, and its risk factors included the main thoracic Cobb angle > 80˚, preoperative level shoulder, high left shoulder, and higher Risser grade. The most stated strategies to preclude SI were the sufficient correction of the proximal thoracic curve, and moderate correction of the main thoracic and lumbar curve (LC). Conclusion: Shoulder imbalance should be prevented not only for appearance or satisfaction but also for possible complications such as distal adding-on, new LC progression, or trunk shift postoperatively in AIS patients.
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Registered trials
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.