Laasya Vasisht Dwarakanath, Mathew David Sewell, Enid Leung, Timothy Knight, Morgan Jones, George McKay, Matthew Newton-Ede, David Marks, Jonathan Spilsbury, Jwalant Mehta, Adrian Gardner
BACKGROUND: Debate exists as to whether anterior-posterior spinal fusion (APSF), rather than posterior-only spinal fusion (PSF), provides benefit for treating severe thoracic adolescent idiopathic scoliosis (AIS). This systematic review and meta-analysis compare (1) Cobb angle correction, (2) complication and reoperation rate, (3) pulmonary function, (4) number of fused segments, and 5) patient-reported outcome measures (PROMs) in both groups. METHODS: Electronic databases were searched to identify studies that met the following inclusion criteria: comparative studies (level 3 or above), severe thoracic curves (≥ 70°), age ≤ 16, AIS aetiology, Lenke 1-4 curves and follow-up ≥ 1 year for ≥ 95% of patient population...
February 2023: Indian Journal of Orthopaedics