BACKGROUND Previous studies report an increase in thoracic kyphosis after anterior approaches and a flattening of sagittal contours following posterior approaches. Difficulties with measuring sagittal parameters on radiographs are avoided with reformatted sagittal CT reconstructions due to the superior endplate clarity afforded by this imaging modality. METHODS A prospective study of 30 Lenke...

The aim of this study was to estimate the prevalence and patient outcomes of proximal junctional kyphosis (PJK) in pediatric patients and adolescents who received surgical interventions for the treatment of a spinal deformity.Literature was searched in electronic databases, and studies were selected by following précised eligibility criteria. Percent prevalence values of the PJK in individual s...

Operative procedure The pedicle screws in the proximal site of osteotomy are not connected to the rod to permit spinal shortening in the postoperative course. When a connector is used between a pedicle screw and a rod, the connector is not fixed to the rod to allow it to slide on the rod. When a connector is not used, the rod is only placed in the screw head with reinforcement by some sets of c...

Objective AIS is a three-dimensional (3-D) spinal deformity, characterized by lateral deviation, axial rotation and apical lordosis of three individual curves. The 3-D morphology of the different areas of the scoliotic spine has not been quantified so far. This is the first study to accurately define the 3-D morphology of AIS and compare it to normal anatomy. This is important for understanding...

Correct identification of fusion levels in surgical planning for the management of adolescent idiopathic scoliosis is a complex task. Several classification systems and algorithms exist to assist surgeons in determining the appropriate levels to be instrumented. The Lenke classification is the benchmark system. Among the many factors and measurements that are taken into account when selecting t...

The objective of this study was to discuss the variables influencing alignment mechanisms of the spine, with particular consideration of post-surgical alignment in adolescent idiopathic scoliosis. The analysis is based on information currently available in the literature, and on the authors' own experience, which includes surgical material from over 2200 cases of idiopathic scoliosis. Over...

Abstract Background The purpose of the study was to investigate whether pelvic incidence (PI) will affect occurrence PJK in Lenke 5 AIS patients after correction surgery and try explore a better surgical scheme based on PI. Methods 5C that underwent with minimum 2-year follow-up were identified. Demographic radiographic data collected preoperatively, postoperatively, at final follow-up. compari...