Should All AIS 1C Curves Be Fused Selectively?

Betz, Randal R · Spine (Phila Pa 1976) · 2016

review · Level V

Where this comes from

Abstract

In treating patients with idiopathic scoliosis and Lenke 1C curves, surgeons must choose between selective fusion of the thoracic spine (STF) and nonselective fusion of the thoracic and lumbar spines. Research shows mixed results. Demura et al reported that 40% of patients who had undergone selective fusion of the thoracic curve were decompensated 2 cm after 2 years, and 89% of those treated with nonselective fusion were balanced in the thoracic and lumbar planes, regardless of preoperative balance.

Medical subject headings

Anatomy