ArticleCureus2025
Presurgical Optimization and Surgical Management of Extreme Adolescent Idiopathic Scoliosis: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
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
2 citing papers in PubMed.
- Low oxygen content as a potential risk factor for scoliosis: a school-based cross-sectional study.Frontiers in public health · 2026Article
- Effect of acupuncture and massage on adolescent idiopathic scoliosis and pain severity.Frontiers in medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We present the case of an 18-year-old Asian male patient with extreme adolescent idiopathic scoliosis (AIS) exceeding 180 degrees, who remained untreated for eight years following his initial diagnosis due to socioeconomic barriers and limited access to healthcare. At presentation, the patient measured 165 cm in height and weighed only 40 kg (BMI 14.7). He exhibited severe spinal deformity, compromised pulmonary function (forced vital capacity (FVC) at 65% of the predicted value), chronic pain (rated 5-7/10), and progressive functional decline that had led to withdrawal from traditional schooling. A multidisciplinary team implemented a presurgical optimization protocol incorporating halo-gravity traction, spinal manipulation, therapeutic exercises, respiratory rehabilitation, and nutritional intervention, all tailored through patient-specific 3D-printed spinal modeling. After eight weeks, the patient demonstrated remarkable improvements: a 2-cm height increase, 4-kg weight gain, improved pulmonary function (FVC 78% of the predicted value), and reduced pain reduction (2-3/10). These gains enabled successful posterior spinal fusion from T2 to L4. Postoperatively, pulmonary function normalized to 82% of the predicted value, and the patient continues with rehabilitation focused on functional restoration and pain management. This case uniquely contributes to the literature by documenting quantifiable improvements achieved through multidisciplinary presurgical optimization in extreme deformity. It demonstrates effective integration of multidisciplinary spine care, provides rare insight into the natural history of untreated severe AIS, and offers a comprehensive model for transitional care from conservative management to surgical intervention. The successful outcome, despite significant barriers, underscores the importance of adaptive, multidisciplinary strategies in managing complex spinal deformities, particularly in resource-limited settings.
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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.