Selection of Fusion Levels in Adolescent Idiopathic Scoliosis.

IF 2.9 2区 医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI:10.1007/s12178-023-09876-6
Soroush Baghdadi, Keith Baldwin
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Abstract

PURPOSE OF REVIEW: Posterior spinal fusion (PSF) is the preferred treatment for adolescent idiopathic scoliosis (AIS) patients with surgical range curves. Selection of the proper upper and lower instrumented vertebrae (UIV and LIV) is essential in curve correction and achieving a successful outcome, while preventing short and long-term complications. RECENT FINDINGS: The literature lacks high-level evidence, especially on outcomes of modern surgical techniques. However, evidence seems to show that a great majority of AIS patients have excellent clinical and functional long-term outcomes after PSF. We have reviewed the evidence and provided our level selection recommendations, which should be weighed against the body of evidence on the topic when selecting fusion levels in AIS.

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选择青少年特发性脊柱侧凸的融合水平。
综述目的:后路脊柱融合术(PSF)是治疗具有手术范围曲线的青少年特发性脊柱侧凸(AIS)患者的首选方法。选择合适的上部和下部器械椎体(UIV和LIV)对于矫正脊柱侧弯、获得成功结果以及预防短期和长期并发症至关重要。最新发现:文献缺乏高水平的证据,尤其是关于现代手术技术效果的证据。不过,似乎有证据表明,绝大多数 AIS 患者在 PSF 术后都能获得良好的临床和功能长期疗效。我们对证据进行了回顾,并提出了等级选择建议,在选择 AIS 的融合等级时,应根据相关证据进行权衡。
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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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