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ArgoSpine News & Journal

, Volume 24, Issue 1–2, pp 62–66 | Cite as

What’s new in the surgical care of Adolescent Idiopathic Scoliosis (AIS)

  • Lawrence G. Lenke
Original Article

Abstract

The evaluation, classification and surgical treatment of adolescent idiopathic scoliosis (AIS) continues to evolve. There is a deeper understanding of the 3-dimensional nature of the deformity and the techniques used to realign the spinal column into a more physiologic position with spinal instrumentation and implants prior to performing a spinal fusion. The posterior approach utilizing pedicle screw implants and various forms of derotation techniques have become quite popular and multicenter analysis of the operative results are commonly performed. Inherent to the current treatment is an emphasis on safety, optimal correction and treatment methods emphasizing less invasive approaches with non-fusion technologies. This review will provide a synopsis of the changes in the past decade in the operative care of AIS patients.

Keywords

adolescent idiopathic scoliosis three-dimensional deformity Lenke Classification System pedicle channels surgical treatment 

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References

  1. 1.
    Lenke LG, Betz RR, Bridwell KH, et al. (1998) Intraobserver and interobserver reliability of the classification of thoracic adolescent idiopathic scoliosis. J Bone Joint Surg 80(8): 1097–1106.PubMedGoogle Scholar
  2. 2.
    Lenke LG, Betz RR, Harms J, et al. (2001) Adolescent idiopathic scoliosis: A new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 83(8): 1169–1181.PubMedGoogle Scholar
  3. 3.
    Dumas R, Le Bras A, Savidan M, et al. (2004) Validation of the relative 3D orientation of vertebrae reconstructed by bi-planar radiography. Med Eng Phys 26: 415–422.PubMedCrossRefGoogle Scholar
  4. 4.
    Lenke LG, Padberg AM, Russo MH, et al. (1995) Triggered electromyographic threshold for accuracy of pedicle screw placement. An animal model and clinical correlation. Spine 20(14): 1585–191S.PubMedCrossRefGoogle Scholar
  5. 5.
    Hurford Jr. RK, Lenke LG, Lee SS, et al. (2006) Prospective radiographic and clinical outcomes of dual rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis: Comparison with single rod constructs. Spine 31(20): 2322–2328.PubMedCrossRefGoogle Scholar
  6. 6.
    Graham EJ, Lenke LG, Lowe TG, et al. (2000) Prospective pulmonary function evaluation following open thoracotomy for anterior spinal fusion in adolescent idiopathic scoliosis. Spine 25(18): 2319–2325.PubMedCrossRefGoogle Scholar
  7. 7.
    Lenke LG (2003) Anterior endoscopic discectomy and fusion for adolescent idiopathic scoliosis. Spine, Emerging Technologies 28(15): 36S–43S.Google Scholar
  8. 8.
    Hamill CL, Lenke LG, Bridwell KH, et al. (1996) The use of pedicle screw fixation to improve correction in the lumbar spine of patients with idiopathic scoliosis: Is it warranted? Spine 21(10): 1241–1249.PubMedCrossRefGoogle Scholar
  9. 9.
    Steib J-P, Dumas R, Mitton D, Skalli W (2004) Surgical correction of scoliosis by in situ contouring: a detorsion analysis. Spine 29(2): 193–199.PubMedCrossRefGoogle Scholar
  10. 10.
    Kim YJ, Lenke LG, Bridwell KH, et al. (2004) Free hand pedicle screw placement in the thoracic spine: Is it safe? Spine 29(3): 333–341.PubMedCrossRefGoogle Scholar
  11. 11.
    Watanabe K, Lenke LG, Matsumoto M, et al. (2010) A novel pedicle channel classification describing osseous anatomy: How many thoracic scoliotic pedicles have cancellous channels? Spine 35(20): 1836–1842.PubMedCrossRefGoogle Scholar
  12. 12.
    Lehman Jr. RA, Lenke LG, Keeler KA, et al. (2008) Operative treatment of adolescent idiopathic scoliosis with posterior pedicle screw-only constructs: Minimum three-year follow-up of one hundred fourteen cases. Spine 33(14): 1598–1604.PubMedCrossRefGoogle Scholar
  13. 13.
    Lenke LG, Sides BA, Koester LA, et al. (2010) Vertebral column resection for the treatment of severe spinal deformity. Clin Orthop Relat Res 468(3): 687–699.PubMedCrossRefGoogle Scholar
  14. 14.
    Padberg AM, Wilson-Holden TJ, Lenke LG, Bridwell KH (1998) Somatosensory- and motor-evoked potential monitoring without a wake-up test during idiopathic scoliosis surgery: An accepted standard of care. Spine 23(12): 1392–1400.PubMedCrossRefGoogle Scholar

Copyright information

© ARGOS and Springer-Verlag France 2012

Authors and Affiliations

  • Lawrence G. Lenke
    • 1
    • 2
  1. 1.Washington University Department of Orthopaedic SurgerySt. LouisUSA
  2. 2.Department of Orthopaedic Surgery — Spine ServiceWashington University School of MedicineSt. LouisUSA

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