Selective Thoracolumbar/Lumbar Fusion in Adolescent Idiopathic Scoliosis: A Comprehensive Review of the Literature

Document Type : CURRENT CONCEPTS REVIEW

Authors

1 Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran

2 Orthopedic Spine Surgery Department, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, IR Iran

Abstract

The goal of correction surgery in Adolescent idiopathic scoliosis (AIS) is to correct the maximum balance of the spine along with its maximum movement. Based on this goal, the concept of selective fusion was formed, in which if there are two simultaneous curvatures, under certain conditions, one of the curvatures can be corrected in the hope that the other curvature will be corrected itself. This technique is becoming more and more popular among spine surgeons due to maintaining more movement in the spine, but due to the lack of sufficient information about its various dimensions, many surgeons still do not use this method. The present review study examines all aspects of selective thoracolumbar/lumbar fusion based on the latest available articles, in the hope that it will provide accurate information about surgical outcomes and their complications in the short and long term to spinal surgeons, based on which they can make the right choice in Patients' case and their surgical procedure.

Keywords



Articles in Press, Accepted Manuscript
Available Online from 05 April 2022
  • Receive Date: 10 November 2021
  • Revise Date: 01 March 2022
  • Accept Date: 05 March 2022
  • First Publish Date: 05 April 2022