Seo Seung-Ho, Hyun Seung-Jae, Lee Jae-Koo, Cho Yong Jae, Jo Dae Jean, Park Jin Hoon, Kim Ki-Jeong
Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Department of Neurosurgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Neurospine. 2023 Sep;20(3):799-807. doi: 10.14245/ns.2346452.226. Epub 2023 Sep 30.
Adolescent idiopathic scoliosis (AIS) affects approximately 2% of adolescents across all ethnicities. 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.
青少年特发性脊柱侧凸（AIS）影响着所有种族中约2%的青少年。AIS手术的目标是阻止侧弯进展，在三维空间内矫正畸形，并尽可能保留更多的可活动脊柱节段，避免交界区并发症。尽管用于AIS手术治疗的算法和分类系统不断发展，但在选择合适的融合节段方面仍存在相当大的争议。在本研究中，我们回顾了关于融合节段选择的文献，并介绍了目前在AIS手术融合节段选择中关于最低融合椎的相关概念。
