Evidence map›Paper›PMID 41806144›Full record

ArticleSpine deformity2026

Limited fusion strategy for congenital scoliosis: is it truly one and done?

Brandon Yoshida, Tyler A Tetreault, Luke Drake, Tiffany Phan, Jacquelyn Valenzuela-Moss, Tishya A L Wren, Lindsay M Andras, Michael J Heffernan

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Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Brandon YoshidaKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Tyler A TetreaultJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.
Luke DrakeDepartment of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MS, USA.
Tiffany PhanJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.
Jacquelyn Valenzuela-MossJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.
Tishya A L WrenJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.
Lindsay M AndrasJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.
Michael J HeffernanJackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA. mheffernan@chla.usc.edu.ORCID http://orcid.org/0000-0002-0632-3367

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the rate and risk factors for reoperation following a short-segment fusion strategy for congenital scoliosis (CS).

methodsCS patients treated with posterior fusion were identified and stratified by history of revision surgery. Demographic and pre- and postoperative radiographic data were compared to determine the risk factors for reoperation.

resultsThirty-five patients (mean age 5.0 years; mean follow-up 7.6 years) underwent an average of 3.5 levels fused. Index procedures were performed in the thoracic (49%), thoracolumbar (29%), lumbar (17%), and lumbosacral (6%) regions. Eighteen (51%) patients underwent reoperation at a mean of 5.2 years. Preoperative curve magnitude was significantly lower in patients who did not require reoperation (34.2° vs 66.7°, p < 0.001), with preoperative curves ≥ 45° having a 94% reoperation rate compared to 6% in curves < 45°. Preoperative curve magnitude strongly predicted reoperation (AUC 0.99, 95% CI 0.97-1.00), with 45° as the optimal cutoff (94.4% sensitivity, 94.1% specificity). Larger pre- and postoperative compensatory curves and constructs that did not span both end vertebrae were also risk factors for reoperation (p < 0.05). In multivariate analysis, only greater preoperative curve magnitude retained significance for reoperation (p = 0.028).

conclusionsAlthough short-segment fusion for CS resulted in a 51% reoperation rate, stabilization for 6.2 years with this staged strategy allowed for growth and delayed additional surgery to a later, optimal age. Risk factors for reoperation included preoperative curves ≥ 45° and constructs failing to span both end vertebrae. LEVEL OF EVIDENCE: III.

Indexed as

ReoperationScoliosisSpinal FusionChildChild, PreschoolFemaleFollow-Up StudiesHumansLumbar VertebraeMaleRadiographyRetrospective StudiesRisk FactorsThoracic VertebraeTreatment OutcomeCongenital scoliosisEnd vertebraFusionReoperation

Identifiers

PMID41806144
PMCPMC13323214

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