Abstract
Background Controversy still exists around surgical strategies for Lenke type 1C and 2C curves with primary thoracic and compensatory lumbar curves in adolescent idiopathic scoliosis (AIS). The benefit of selective thoracic fusion (STF) for these curve types is spontaneous lumbar curve correction while saving more mobile lumbar segments. However, a risk of postoperative coronal decompensation after STF has also been reported. This multicenter retrospective study was conducted to evaluate postoperative behavior of thoracolumbar/lumbar (TLL) curve and coronal balance after posterior thoracic fusion for Lenke 1C and 2C AIS.
Highlights
Controversy still exists in surgical strategy for primary thoracic and compensatory lumbar curves in adolescent idiopathic scoliosis (AIS)
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Summary
Controversy still exists in surgical strategy for primary thoracic and compensatory lumbar curves in adolescent idiopathic scoliosis (AIS). Benefit of selective thoracic fusion for this curve type is spontaneous lumbar curve correction with saving of more lumbar mobile segments. A risk of postoperative coronal decompensation after selective thoracic fusion has been reported. This multicenter retrospective study was conducted to evaluate postoperative behavior of thoracolumbar/lumbar (TLL) curve and coronal balance after posterior thoracic fusion for Lenke 1C and 2C AIS
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