Retrospective Cohort Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Sep 18, 2016; 7(9): 553-560
Published online Sep 18, 2016. doi: 10.5312/wjo.v7.i9.553
Surgical treatment of Lenke 5 adolescent idiopathic scoliosis: Comparison of anterior vs posterior approach
Mark F Abel, Anuj Singla, Mark A Feger, Lindsay D Sauer, Wendy Novicoff
Mark F Abel, Anuj Singla, Mark A Feger, Lindsay D Sauer, Wendy Novicoff, Department of Orthopedic Surgery, University of Virginia, Charlottesville, VA 22908, United States
Author contributions: All the authors contributed to this paper.
Institutional review board statement: The study was reviewed and approved for publication by respective Institutional Reviewer Boards.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at anujrajsingla@gmail.com.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Anuj Singla, MD, Department of Orthopedic Surgery, University of Virginia, P.O. Box 800232, Charlottesville, VA 22908, United States. anujrajsingla@gmail.com
Telephone: +1-434-2430291 Fax: +1-434-2431539
Received: March 22, 2016
Peer-review started: March 23, 2016
First decision: May 16, 2016
Revised: July 19, 2016
Accepted: July 29, 2016
Article in press: August 1, 2016
Published online: September 18, 2016
Processing time: 174 Days and 8.5 Hours
Core Tip

Core tip: A multicenter database was analyzed to determine the frequency that surgeons performed a selective fusion of the thoracolumbar (TL)/lumbar curve in adolescent idiopathic scoliosis patients with Lenke 5c curves. We found that surgeons treating Lenke 5c curves will include more motion segments when employing a posterior approach. When controlled for the distal level of fixation, the anterior approach provides greater correction of the TL curve.