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Selection of Optimal Lower Instrumented Vertebra for Adolescent Idiopathic Scoliosis Surgery

초록/요약

Adolescent idiopathic scoliosis (AIS) affects approximately 2% of adolescents across all eth-nicities. The objectives of surgery for AIS are to halt curve progression, correct the deformity in 3 dimensions, and preserve as many mobile spinal segments as possible, avoiding junctional complications. Despite ongoing development in algorithms and classification systems for the surgical treatment of AIS, there is still considerable debate about selecting the appropriate fusion level. In this study, we review the literature on fusion selection and present current concepts regarding the lower instrumented vertebra in the selection of the fusion level for AIS surgery. © 2023 by the Korean Spinal Neurosurgery Society.

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