Table 5.
Summary of the literature on UIV selection in AIS with thoracolumbar/lumbar curves
Study | Curve type | Total No. of patients | Mean age (years) | Mean follow-up (years) | Conclusion |
---|---|---|---|---|---|
Shufflebarger et al. [47] (2004) | Lenke 3C, 5, 6 | 61 | - | Min. 2 | Fusion from the inferior end vertebra to the UEV showed excellent outcomes. |
Bennett et al. [2] (2013) | Lenke 3C, 5, 6 | 26 | 14.6 | Min. 5 | The UIV was usually selected to be the UEV in TL/L curves. |
Trobisch et al. [54] (2013) | Lenke 5 | - | - | - | The UEV is recommended as the UIV unless it is not at the apex of the thoracic kyphosis. |
Okada et al. [39] (2015) | Lenke 5 | 29 | 16.8 | 2.3 | One level caudal to the UEV (UEV-1) is applicable to posterior correction for Lenke 5 curves. |
Sudo et al. [48] (2016) | Lenke 5 | 30 | 14.4 | 17.2 | One level caudal to the UEV (UEV-1) is a reasonable alternative to the conventional strategy (UEV). |
UIV : upper instrumented vertebra, AIS : adolescent idiopathic scoliosis, Min. : minimum, UEV : upper end vertebra, TL/L : thoracolumbar/lumbar