SurgicalRX of Lenke 5 adolescent idiopathic scoliosis
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Lenke 5 curves are the third most common adolescent idiopathic scoliosis curve type. These curves are characterized by a single structural curve in lumbar/thoracolumbar region with non-structural curves (defined as bending to a Cobb angle of less than 25°) in thoracic and low umbosacral regions of the spine. Common surgical treatment of Lenke 5c curves involves selective fusion (where the proximal level of fixation is distal to the thoracic apex) of the thoracolumbar curve with the expectation that the non-structural thoracic curve will spontaneously correct. Aim of this study was to compare the posterior vs anterior approaches for fusion of Lenke 5 adolescent idiopathic scoliosis curves, matched for curve magnitude and for the distal level of fixation (dLOF) standardized to the third lumbar vertebrae (L3).

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