Principles for selecting fusion levels in adult spinal deformity with particular attention to lumbar curves and double major curves.

Abstract:

STUDY DESIGN:Review article. OBJECTIVES:To identify decision-making principles for selecting fusion levels in adult spinal deformity, with particular attention to lumbar curves and double major curves. SUMMARY OF BACKGROUND DATA:Although numerous articles have been published on the selection of fusion levels for adolescent idiopathic scoliosis (AIS) curves, relatively less attention has been paid to the selection of fusion levels for the operative management of adult scoliosis. METHODS:This is a literature review pertaining to the surgical management of adult scoliosis. RESULTS:Selection of fusion levels for adult scoliosis can be difficult; however, certain biomechanical and surgical principles can consistently be applied. CONCLUSION:An appreciation of both the coronal and sagittal plane components of spinal deformity is mandatory to achieve optimal results with surgical stabilization of adult scoliosis.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Kuklo TR

doi

10.1097/01.brs.0000236023.08226.90

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

S132-8

issue

19 Suppl

eissn

0362-2436

issn

1528-1159

pii

00007632-200609011-00005

journal_volume

31

pub_type

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