ReviewBMC surgery2026
Advances in fusion level selection and surgical approaches for adolescent idiopathic scoliosis based on the Lenke classification system: a narrative review.
Review in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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
2 citing papers in PubMed.
- Upper Instrumented Vertebra Selection Influences Proximal Balance but Not Long-Term Clinical Outcomes in Lenke Type 1 Adolescent Idiopathic Scoliosis.Journal of clinical medicine · 2026Article
- Outcomes of high-compliance bracing in patients with severe adolescent idiopathic scoliosis declining operative intervention.Frontiers in pediatrics · 2026Article
Corrections and comments
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Authors and funding
9 authors.
Funding
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Abstract
backgroundAdolescent idiopathic scoliosis (AIS) is a complex three-dimensional spinal deformity, frequently requiring fusion surgery. An optimal fusion surgical strategy can not only achieve effective correction but also reduce the incidence of postoperative complications. Recently, several researchers have refined and expanded AIS fusion surgical strategies based on the Lenke classification system, which is the current international standard for AIS. Therefore, this study aims to review the advances in fusion level selection and surgical approaches for AIS based on this classification.
methodsDatabases such as PubMed, Embase, Web of Science, Scopus, Cochrane Database, China National Knowledge Infrastructure, Wanfang Database, and China Biomedical Literature Database were queried for articles using the keywords "adolescent idiopathic scoliosis", "fusion surgery", "Lenke classification system", "Lenke 1", "Lenke 2", "Lenke 3", "Lenke 4", "Lenke 5" and "Lenke 6".
resultsOver the past decade, fusion surgical guidelines based on the Lenke classification have been refined, with new strategies emerging. We summarize the latest AIS fusion surgical strategies with recent research results. However, the fusion strategy based on the Lenke classification system has undergone no revolutionary changes. The selection of surgical designs for certain subtypes remains controversial.
conclusionThe fusion surgical strategy based on the Lenke classification system remains the standard for AIS surgical treatment. With the advancement of surgical technologies, further optimization of surgical strategies and the development of three-dimensional classification systems are potential future directions.
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