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Spine Surgery pp 539-545 | Cite as

Principles of Posterior Surgery in Adolescent Idiopathic Scoliosis

  • R. Emre Acaroglu
  • Michael E. Doany
Chapter

Abstract

This is a typical case of Adolescent Idiopathic Scoliosis (AIS) who has had a trial of conservative treatment with a rigid brace that was not necessarily indicated before surgery. Based on her case;
  • Surgical indications in AIS,

  • Use and application of Lenke classification in surgical decision making,

  • Uses, advantages and disadvantages of surgical correction maneuvers, and

  • Priorities in surgical treatment of AIS will be discussed.

References

  1. 1.
    Lonstein JE, Carlson JM. The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am. 1984;66(7):1061–71. PubMed PMID: 6480635. Evidence level: 3.CrossRefGoogle Scholar
  2. 2.
    Rowe DE. Adolescent idiopathic scoliosis. In: SRS bracing manual. Available at: http://www.srs.org/UserFiles/file/bracing-manual/section1.pdf. Accessed 16 Apr 2018. Evidence level: 5.
  3. 3.
    Lenke LG, Edwards CC 2nd, Bridwell KH. The Lenke classification of adolescent idiopathic scoliosis: how it organizes curve patterns as a template to perform selective fusions of the spine. Spine (Phila Pa 1976). 2003;28(20):S199–207. PubMed PMID: 14560193. Evidence level: 4.CrossRefGoogle Scholar
  4. 4.
    Bharucha NJ, Lonner BS, Auerbach JD, Kean KE, Trobisch PD. Low-density versus high-density thoracic pedicle screw constructs in adolescent idiopathic scoliosis: do more screws lead to a better outcome? Spine J. 2013;13(4):375–81.  https://doi.org/10.1016/j.spinee.2012.05.029. Epub 2012 Aug 15. PubMed PMID: 22901787. Evidence level: 3.CrossRefPubMedGoogle Scholar
  5. 5.
    Larson AN, Polly DW Jr, Diamond B, Ledonio C, Richards BS 3rd, Emans JB, Sucato DJ, Johnston CE, Minimize Implants Maximize Outcomes Study Group. Does higher anchor density result in increased curve correction and improved clinical outcomes in adolescent idiopathic scoliosis? Spine (Phila Pa 1976). 2014;39(7):571–8.  https://doi.org/10.1097/BRS.0000000000000204. PubMed PMID: 24430717.CrossRefGoogle Scholar
  6. 6.
    Mariconda M, Andolfi C, Cerbasi S, Servodidio V. Effect of surgical correction of adolescent idiopathic scoliosis on the quality of life: a prospective study with a minimum 5-year follow-up. Eur Spine J. 2016;25(10):3331–40. Epub2016 Mar 16. PubMed PMID: 26984879. Evidence level: 3.CrossRefGoogle Scholar
  7. 7.
    Takayama K, Nakamura H, Matsuda H. Quality of life in patients treated surgically for scoliosis: longer than sixteen-year follow-up. Spine (Phila Pa 1976). 2009;34(20):2179–84.  https://doi.org/10.1097/BRS.0b013e3181abf684. PubMed PMID: 19713874. Evidence level: 4.CrossRefGoogle Scholar
  8. 8.
    Sanders JO, Carreon LY, Sucato DJ, Sturm PF, Diab M, Spinal Deformity Study Group, et al. Spine (Phila Pa 1976). 2010;35(20):1867–71.  https://doi.org/10.1097/BRS.0b013e3181efa6f5. PubMed PMID: 20802382. Evidence level: 4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • R. Emre Acaroglu
    • 1
  • Michael E. Doany
    • 2
  1. 1.Ankara Spine CenterAnkaraTurkey
  2. 2.Department of OrthopedicsStony Brook UniversityStony BrookUSA

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