The Clinical Significance of the Lowest Instrumented Vertebra in Adolescent Idiopathic Scoliosis.

IF 2.6 2区 医学 Q1 ORTHOPEDICS Journal of the American Academy of Orthopaedic Surgeons Pub Date : 2024-09-15 Epub Date: 2024-05-14 DOI:10.5435/JAAOS-D-24-00152
Scott Yang, Burt Yaszay, Jennifer Bauer
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Abstract

Selecting the lowest instrumented vertebra (LIV) in fusion for adolescent idiopathic scoliosis is potentially the most nuanced decision a surgeon has to make. This article reviews the literature on the range-of-motion loss related to the LIV, ability to return to sports based on LIV, correlation between LIV and disk degeneration, and short-term and long-term clinical outcomes related to LIV.

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青少年特发性脊柱侧弯症中最低器械椎骨的临床意义。
在青少年特发性脊柱侧凸融合术中选择最低器械椎体(LIV)可能是外科医生需要做出的最微妙的决定。本文回顾了与LIV相关的活动范围损失、根据LIV恢复运动的能力、LIV与椎间盘退变之间的相关性以及与LIV相关的短期和长期临床结果等方面的文献。
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来源期刊
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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