Selection of Optimal Lower Instrumented Vertebra for Adolescent Idiopathic Scoliosis Surgery

Seung Ho Seo, Seung Jae Hyun, Jae Koo Lee, Yong Jae Cho, Dae Jean Jo, Jin Hoon Park, Ki Jeong Kim

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Adolescent idiopathic scoliosis (AIS) affects approximately 2% of adolescents across all eth-nicities. The objectives of surgery for AIS are to halt curve progression, correct the deformity in 3 dimensions, and preserve as many mobile spinal segments as possible, avoiding junctional complications. Despite ongoing development in algorithms and classification systems for the surgical treatment of AIS, there is still considerable debate about selecting the appropriate fusion level. In this study, we review the literature on fusion selection and present current concepts regarding the lower instrumented vertebra in the selection of the fusion level for AIS surgery.

Original languageEnglish
Pages (from-to)799-807
Number of pages9
JournalNeurospine
Volume20
Issue number3
DOIs
StatePublished - 1 Sep 2023

Bibliographical note

Publisher Copyright:
© 2023 by the Korean Spinal Neurosurgery Society.

Keywords

  • Adding-on phenomenon
  • Adolescent idiopathic scoliosis
  • Fusion level selection
  • Lower instrumented ver-tebra

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