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



1 Bone and Joint reconstruction research center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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


In Adolescent Idiopathic Scoliosis (AIS), correction surgery can correct the maximum movement and 
balance of the spine. Under certain conditions for two simultaneous curvatures, the procedure, in which 
correcting one of the curvatures can result in the automatic correction of another curvature, is called 
selective fusion, attracting spine surgeons’ interest because of more movement in the spine. However, 
the majority of surgeons have not used this technique due to the lack of sufficient information. The 
current study aimed to totally investigate selective thoracolumbar/lumbar fusion and to provide accurate 
information on outcomes and complications of surgery for spinal surgeons. This technique can also 
help spinal surgeons have a better selection of patients ’ surgical procedures.
 Level of evidence: IV


Main Subjects

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