Abstract
Sagittal balance is a major predictor of outcomes in adults with scoliosis, but this is rarely a problem in children with AIS. In patients with Lenke 1C AIS, the impact of sagittal curve parameters after selective thoracic fusion (STF) versus fusion of both curves (non-selective thoracic fusion, NSTF) has not been well studied. Sagittal balance appears to be adequately maintained following STF for up to 20 yrs postop. However, moderate kyphosis may not become clinically relevant until the patient loses the ability to compensate through pelvic retroversion.
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