TY - JOUR
T1 - Surgical management of adolescent idiopathic scoliosis
AU - Wagner, Scott C.
AU - Lehman, Ronald A.
AU - Lenke, Lawrence G.
N1 - Funding Information:
Conflicts of interest and source of funding: None of the authors received financial support in relation to this article. Department of Orthopaedic Surgery-Spine Service, Washington University, received grant monies from Axial Biotech and DePuy Synthes Spine ; an NIH grant AR055176 (2010–2015); grants from AOSpine , SRS , and Norton Healthcare , Louisville, KY (Scoli-RISK-1 study); philanthropic research funding from the Fox Family Foundation (Prospective Pediatric Spinal Deformity study); fellowship funding from AOSpine North America (funds/fellow year); and research funds from the Setting Scoliosis Straight Foundation. Lenke shares numerous patents with Medtronic (unpaid). He is a consultant for DePuy Synthes Spine, K2M, and Medtronic (monies donated to a charitable foundation). He receives substantial royalties from Medtronic and modest royalties from Quality Medical Publishing. Lenke also receives or has received reimbursement related to meetings/courses from AOSpine, BroadWater, DePuy Synthes Spine, K2M, Medtronic, Scoliosis Research Society, Seattle Science Foundation, Stryker Spine, and the Spinal Research Foundation.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Without a complete understanding of the natural history of adolescent idiopathic scoliosis (AIS), the treating spine surgeon will be unable to effectively appreciate the indications for surgery nor will the long-term management plan be appropriate. Basic evaluation of the patient with AIS should center on a thorough history and physical examination. It is crucial that applicable radiographic imaging is obtained as well, which must be tailored to each individual patient given the findings on history and physical examination. For patients in whom surgical correction is indicated, many factors comprise the ultimate treatment plan. The goals of surgery center on prevention of curve progression, adequate coronal and sagittal realignment, and the preservation of as much motion as possible. Vertebral-level selection, curve-reduction techniques, fixation strategies, postoperative protocols, and potential complications each play a vital role in the successful surgical treatment of AIS. With an in-depth understanding of all of these variables, the spine surgeon can achieve excellent outcomes for his or her AIS patients.
AB - Without a complete understanding of the natural history of adolescent idiopathic scoliosis (AIS), the treating spine surgeon will be unable to effectively appreciate the indications for surgery nor will the long-term management plan be appropriate. Basic evaluation of the patient with AIS should center on a thorough history and physical examination. It is crucial that applicable radiographic imaging is obtained as well, which must be tailored to each individual patient given the findings on history and physical examination. For patients in whom surgical correction is indicated, many factors comprise the ultimate treatment plan. The goals of surgery center on prevention of curve progression, adequate coronal and sagittal realignment, and the preservation of as much motion as possible. Vertebral-level selection, curve-reduction techniques, fixation strategies, postoperative protocols, and potential complications each play a vital role in the successful surgical treatment of AIS. With an in-depth understanding of all of these variables, the spine surgeon can achieve excellent outcomes for his or her AIS patients.
UR - http://www.scopus.com/inward/record.url?scp=84940364223&partnerID=8YFLogxK
U2 - 10.1053/j.semss.2015.01.008
DO - 10.1053/j.semss.2015.01.008
M3 - Article
AN - SCOPUS:84940364223
SN - 1040-7383
VL - 27
SP - 33
EP - 38
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
IS - 1
ER -