Choosing fusion levels in progressive thoracic idiopathic scoliosis

The selection of fusion levels in thoracic idiopathic scoliosis was subjected to multicenter retrospective review to test the validity of the classification system and recommendations of King et al. The 253 patients reviewed were treated by posterior fusion and Harrington instrumentation. Bending fi...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1992-10, Vol.17 (10), p.1159-1165
Main Authors: KNAPP, D. R, PRICE, C. T, JONES, E. T, COONRAD, R. W, FLYNN, C. J
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Diseases of the osteoarticular system
Female
Humans
Internal Fixators
Lumbar Vertebrae - diagnostic imaging
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Radiography
Retrospective Studies
Scoliosis - classification
Scoliosis - epidemiology
Scoliosis - surgery
Spinal Fusion
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - surgery
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Summary:The selection of fusion levels in thoracic idiopathic scoliosis was subjected to multicenter retrospective review to test the validity of the classification system and recommendations of King et al. The 253 patients reviewed were treated by posterior fusion and Harrington instrumentation. Bending films were of little help in selecting fusion levels. Standing radiographs alone were usually adequate. King Type II curves may yield better lumbar correction if the lumbar curve is partially included in the fusion. Type IV curves may be safely fused one level proximal to the stable vertebrae.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199210000-00006