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Do all patients with adult scoliosis need instrumented fusion from T10 to the pelvis?

Year: 2025

Type: article

Abstract: In this review article, the authors describe the thought process, alternatives, and approaches to adult spinal deformity. Although fusion of the entire major curve of scoliosis is certainly reasonable and necessary in certain cases, the authors discuss conditions in which shorter constructs may be considered. They also discuss when it is important to fuse both the major and fractional curves and when shorter constructs are not ideal. Factors that favor choosing an upper instrumented vertebral level in the upper thoracic, lower thoracic, or lumbar spine are discussed. Case examples are presented, and decision-making considerations are discussed.

Source: Journal of Neurosurgery Spine

DOI: 10.3171/2025.6.spine22881

Authors: Dean Chou, Andrew K. Chan, Evan F. Joiner, Lee A. Tan, Sigurd H. Berven, Paul Park, Praveen V. Mummaneni

Institutions: NewYork–Presbyterian Hospital, Columbia University, University of California, San Francisco

Language: English

Topic: Scoliosis diagnosis and treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4415333112

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