Spine deformity最新文献

{"title":"A comparative study of curve flexibility assessment in supine traction, push-prone and push-prone traction radiographs in adolescent idiopathic scoliosis.","authors":"Tinnakorn Pluemvitayaporn, Worakarn Jackkaew, Suttinont Surapuchong, Piyabuth Kittithamvongs, Warot Ratanakoosakul, Kitjapat Tiracharnvut, Chaiwat Piyasakulkaew, Sombat Kunakornsawat","doi":"10.1007/s43390-025-01051-w","DOIUrl":"https://doi.org/10.1007/s43390-025-01051-w","url":null,"abstract":"<p><strong>Study design: </strong>A prospective comparative study.</p><p><strong>Objectives: </strong>To compare the curve flexibility in adolescent idiopathic scoliosis (AIS) using supine traction push-prone and push-prone traction radiographs and to determine which method is more effective in predicting the postsurgical correction.</p><p><strong>Background: </strong>Preserving spinal motion is one of the critical objectives in adolescent idiopathic scoliosis (AIS) surgery. Hence, evaluating curve flexibility preoperatively is crucial in determining the optimal instrumented level. Supine lateral side bending radiographs are commonly considered the gold standard for assessing curve flexibility. Several methods are employed to determine curve flexibility, including supine traction, push-prone, and fulcrum bending radiographs. Nonetheless, the combined application of the push-prone and traction techniques for evaluating curve flexibility has not been documented, and the effectiveness of curve correction utilizing this approach remains uncertain.</p><p><strong>Methods: </strong>Between 2021 and 2024, AIS patients who underwent posterior spine surgery were enrolled in the study. Preoperative 36-inch whole spine radiographs, including posteroanterior, supine traction, push-prone, and push-prone traction views, were obtained. Demographic data, including sex, age, BMI, Lenke's curve type, and pre-and postoperative major Cobb angle, were collected. Major curves, including proximal thoracic, main thoracic, and thoracolumbar/lumbar curves, were assessed using various techniques. The mean absolute difference of the major Cobb angle for each method was analyzed to establish a confidence interval. Additionally, the curve flexibility ratio was evaluated through radiographic analysis. The correction index was calculated by dividing the correction rate by the flexibility for each technique.</p><p><strong>Results: </strong>A total of one hundred and six AIS patients (96 female and 10 male) with a mean age of 14.9 ± 2.3 years were identified. The combined push-prone and traction method demonstrated the highest flexibility in assessing the overall, PT, MT, and TL/L curves, followed by supine traction and push-prone methods. Moreover, the correction index also shows that the push-prone traction method provides the best predictive outcome for postoperative results compared to supine traction and the push-prone method.</p><p><strong>Conclusion: </strong>Our analysis shows that push-prone traction radiographs provide the highest curve flexibility and are more reliable in predicting curve correction in AIS patients who underwent posterior spine surgery.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where does the tether break in vertebral body tethering cases? Clinical insights from revision cases after tether breakage.","authors":"Mahmoud Alkharsawi, Alice Baroncini, Dong-Gune Chang, Miguel Pishnamaz, Per David Trobisch","doi":"10.1007/s43390-025-01048-5","DOIUrl":"https://doi.org/10.1007/s43390-025-01048-5","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the sites where the tether breaks in vertebral body tethering (VBT) cases.</p><p><strong>Methods: </strong>Intraoperative evaluation of broken tethers in patients who had anterior revision.</p><p><strong>Inclusion criteria: </strong>anterior revision of VBT cases with explantation of the full implant and photo documentation. Eight patients met the inclusion criteria. The primary variable of interest was the location of tether breakage in relation to the vertebral curve and the tether-screw interface. Another variable of interest was to evaluate the difference in breakage rates between anterior and posterior tethers in double tether cases.</p><p><strong>Results: </strong>Sixty tethers bridging the intervertebral disc within this cohort of eight patients were found. Seven implants were removed from thoracolumbar curves and one implant from a thoracic curve. We identified 32 tether breakages. Double tethers were used in six patients. In these six cases, 15 breakages were found in the posterior tether and 13 in the anterior tether. Four cases (50%) exhibited breakages at the apex, eight cases (100%) at the lowest instrumented vertebra (LIV), and five cases (63%) at the uppermost-instrumented vertebra (UIV). Five tether breakages (in three cases with double tether) were observed at the screw sites, while the remaining 27 exhibited cord breakages near the intervertebral discs. In double tether systems, statistical analysis did not reveal any significant difference in breakage rates between anterior and posterior tethers.</p><p><strong>Conclusions: </strong>In VBT cases, the tether breaks mostly at the level of the intervertebral disc, adjacent to the lowest instrumented vertebra.</p><p><strong>Level of evidence: </strong>Level IV (Case series with no comparison group).</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing postoperative morbidity by diminishing chest tube drainage utilizing tranexamic acid following vertebral body tethering for adolescent idiopathic scoliosis.","authors":"Rami Rajjoub, Mark Kurapatti, Mateo Restrepo Mejia, Olgerta Mucollari, Rodnell Busigó Torres, Husni Alasadi, Baron S Lonner","doi":"10.1007/s43390-025-01042-x","DOIUrl":"https://doi.org/10.1007/s43390-025-01042-x","url":null,"abstract":"<p><strong>Purpose: </strong>Vertebral body tethering (VBT) is a non-fusion surgical option for adolescent idiopathic scoliosis (AIS) that requires a postoperative (PO) chest tube. This study evaluates whether 48 h of PO TXA reduces chest tube (CT) drainage and retention compared to 24 h of TXA following VBT for AIS.</p><p><strong>Methods: </strong>Consecutively treated patients with a diagnosis of AIS who underwent VBT were assessed. Thirty-eight patients who received 48 h of PO IV TXA (48-TXA) were compared to 35 VBT patients who received 24 h of PO IV TXA (24-TXA) and 48 patients who did not receive TXA (non-TXA). TXA use in thoracic CT and thoracolumbar CT drainages were also assessed separately. Group comparisons were performed using one-way ANOVA and Chi-square tests.</p><p><strong>Results: </strong>There were no significant differences in demographics between groups. TXA significantly reduced CT drainage (p < 0.001) and retention (p < 0.001), with no differences between 24-TXA and 48-TXA (p = 0.88). Sub-analyses showed that both 24-TXA and 48-TXA reduced thoracic CT drainage (p = 0.002, p = 0.02) and retention time (p = 0.04, p = 0.007) compared to non-TXA, respectively. For thoracolumbar CT, differences were observed only between 24-TXA and non-TXA (p = 0.01, p = 0.03). TXA was an independent predictor of reduced CT drainage (p < 0.001) and retention (p < 0.001). Hospital stay, ICU stay, and complications didn't differ between TXA groups (p > 0.9, p = 0.4), respectively.</p><p><strong>Conclusions: </strong>Intravenous TXA reduces CT drainage and retention after VBT for AIS for thoracic CTs. There was no additional benefit of 48-TXA over 24-TXA in decreasing overall drainage and CT retention time.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Mobile device-based 3D scanning is superior to scoliometer in assessment of adolescent idiopathic scoliosis.","authors":"Yousi Oquendo, Ian Hollyer, Clayton Maschhoff, Christian Calderon, Malcolm DeBaun, Joanna Langner, Nadine Javier, Xochitl Bryson, Ann Richey, Hiba Naz, Kali Tileston, Michael Gardner, John S Vorhies","doi":"10.1007/s43390-025-01046-7","DOIUrl":"10.1007/s43390-025-01046-7","url":null,"abstract":"","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current practices in MRI screening in early onset scoliosis.","authors":"Austin W Li, Alexander Chang, Joshua S Murphy, Ying Li, Benjamin Roye, Christina K Hardesty, Michael P Glotzbecker","doi":"10.1007/s43390-024-01033-4","DOIUrl":"https://doi.org/10.1007/s43390-024-01033-4","url":null,"abstract":"<p><strong>Purpose: </strong>Early onset scoliosis (EOS) has traditionally been an indication for MRI because of its association with neural axis abnormalities (NAAs). Because these abnormalities are often clinically silent and concerns regarding sedation in young children are growing, routine MRI for EOS is debated. This study investigates the current practices of EOS MRI screening among surgeons in the Pediatric Spine Study Group (PSSG).</p><p><strong>Methods: </strong>A survey assessing EOS MRI practices was distributed to the PSSG. The survey presented scenarios that varied in age, curve size, and diagnosis and asked which scenarios would indicate an MRI. Respondents also ranked age, curve progression, etiology, and need for sedation by level of importance when considering to order MRI.</p><p><strong>Results: </strong>Age and curve progression were ranked as the most important factors when deciding to order MRI. For all non-congenital scoliosis, increased age and curve size were associated with increased rates of MRI among respondents. For idiopathic EOS, more than 60% of respondents would order MRI for patients with curve magnitudes of 45° regardless of age. All respondents would order MRI for congenital EOS before surgery and for EOS caused by neurofibromatosis. For EOS secondary to cerebral palsy, 61% of respondents would order an MRI, and 34% believe that EOS and Prader-Willi syndrome require MRI.</p><p><strong>Conclusion: </strong>Our results indicate that the MRI screening practices for EOS vary greatly between physicians, as expected. Future research on the prevalence of NAAs in EOS and the clinical outcomes of routine MRI is needed to inform which MRI practices should be standard.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bracing effectiveness in idiopathic early onset scoliosis followed to skeletal maturity: a systematic review and meta-analysis.","authors":"Matthew Bellamy, Wei Shao Tung, Raveen Jayasuriya, Daniel Hind, Lizzie Swaby, Nikki Totton, Ashley Cole","doi":"10.1007/s43390-025-01043-w","DOIUrl":"https://doi.org/10.1007/s43390-025-01043-w","url":null,"abstract":"<p><strong>Purpose: </strong>Treating idiopathic Early Onset Scoliosis (idiopathic EOS) is challenging due to ongoing growth and extensive follow-ups. While bracing is effective for Adolescent Idiopathic Scoliosis (AIS), its value for children under 10 remains debated. This systematic review and meta-analysis evaluates the effectiveness of spinal bracing in idiopathic EOS, followed to skeletal maturity.</p><p><strong>Methods: </strong>We searched Ovid Medline and Web of Science until November 1st, 2023. Studies included idiopathic EOS patients between the ages of 3 and 10 (corresponding to Juvenile Idiopathic Scoliosis), followed to skeletal maturity, with no more than 25% initiating bracing after age 11. The primary outcome was the percentage undergoing scoliosis surgery. Pooled outcomes were calculated using a random effects model and 95% confidence intervals.</p><p><strong>Results: </strong>Out of 417 studies, 15 met the inclusion criteria, encompassing 868 patients. All were observational with a high risk of bias. The pooled percentage of patients undergoing surgery was 40% (95% CI 27-55%). The percentage of patients with a 5-degree progression or more and those progressing beyond 45 degrees were 44% (95% CI 24-66%) and 33% (95% CI 17-54%), respectively. Factors including larger initial Cobb angles, younger age, smaller in-brace correction, and poor compliance were identified as progression risk factors.</p><p><strong>Conclusions: </strong>Bracing may prevent progression to surgery in idiopathic EOS when initiated early, but progression and surgery are still more common compared to adolescents. This is the first systematic review and meta-analysis looking at the success of bracing in idiopathic EOS, followed up to skeletal maturity. The high bias and variability of included studies limit the strength of these conclusions, highlighting the need for high-quality research with innovative trial designs.</p><p><strong>Level of evidence: </strong>IV (systematic review of level IV studies).</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of congenital diaphragmatic hernia with scoliosis.","authors":"Michal Koziara, Stuart Irvine, Nicholas Wei, Prasad Karpe, Paul Rushton, David Fender, Bruce Jaffray","doi":"10.1007/s43390-025-01041-y","DOIUrl":"https://doi.org/10.1007/s43390-025-01041-y","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of scoliosis in patients who have undergone surgical repair of CDH and attempt to assess the aetiology of scoliosis in affected cases.</p><p><strong>Methods: </strong>A prospectively collected database of patients with CDH treated in a single centre between 1997 and 2023 was reviewed. Cases with adequate records who continued to reside locally having survived beyond age 2 and > 2 years following CDH repair were included. Congenital spinal abnormalities and scoliosis were diagnosed from imaging studies. In those who developed scoliosis, medical notes were reviewed to assess the aetiology of scoliosis and its treatment.</p><p><strong>Results: </strong>145 patients (92 male) who had undergone CDH repair were included. The median age at CDH repair was at 4 days. The mean time from CDH repair to this study was 14.1 years (2.0-26.2). 15 developed scoliosis (10.3%). In 8 cases, the scoliosis was considered a reflection of multisystem abnormalities including congenital vertebral anomalies in 3 cases (2%). In the 7 remaining cases the scoliosis had no obvious cause. Of those with scoliosis, to date, 3 have had surgical treatment with 1 awaiting surgery, 7 have not required scoliosis treatment and 4 have died.</p><p><strong>Conclusions: </strong>Scoliosis is relatively common in those who have undergone CDH repair, typically presenting before age 10 years. Scoliosis when present was commonly part of a multisystem issue, with congenital vertebral anomalies rare. There appears no strong association between use of synthetic patch and scoliosis. Few children undergoing CDH repair will require treatment of a scoliosis.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which Lenke type curve is most appropriate for vertebral body tethering in adolescent idiopathic scoliosis?","authors":"Abel De Varona-Cocero, Djani Robertson, Camryn Myers, Fares Ani, Constance Maglaras, Tina Raman, Themistocles Protopsaltis, Juan C Rodriguez-Olaverri","doi":"10.1007/s43390-025-01049-4","DOIUrl":"https://doi.org/10.1007/s43390-025-01049-4","url":null,"abstract":"<p><strong>Purpose: </strong>Clinical trials have studied the effects of curve magnitude and flexibility, age, and skeletal immaturity on the outcomes of VBT. No studies have assessed the effect of Lenke curve type on the outcomes of VBT. This study compares outcomes in patients who underwent VBT with Lenke type 1, 3, 5, and 6 curves.</p><p><strong>Methods: </strong>Single center retrospective review of patients undergoing mini-open thoracoscopic-assisted two row vertebral body tethering (2RVBT) for the correction of AIS with a minimum 2-year follow-up were included. Patients were grouped by Lenke type, which yielded 4 groups; types 1, 3, 5, or 6. Analysis included preoperative demographic parameters, as well as radiographic and clinical outcome measures.</p><p><strong>Results: </strong>156 2RVBT (Lenke 1, N = 61; Lenke 3, N = 35; Lenke 5, N = 37; Lenke 6, N = 23) patients met inclusion criteria. The mean preoperative apex Cobb angle in the Lenke type 1, 3, 5, and 6 groups were 50.2 ± 9.1, 50.5 ± 10.1, 45.0 ± 8.6, and 49.0 ± 10.8, respectively. This corrected to 21.2 ± 10.2, 19.2 ± 8.5, 13.6 ± 7.2, 18.5 ± 8.3 in Lenke type 1, 3, 5, and 6 groups, respectively, demonstrating that Lenke type 5 saw greatest correction following 2RVBT. With regards to revision recommendation following tether breakage, Lenke type 3 curves were most frequently indicated for fusion, whereas Lenke type 1 curves were most frequently not indicated for revision surgery.</p><p><strong>Conclusion: </strong>Lenke type 5 curves are the most amenable to correction via 2RVBT, as evident by their lower post-operative apex Cobb angles and lowest rate of recommendation for revision to posterior spinal fusion.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced recovery after surgery for adolescent idiopathic scoliosis: a revised systematic review and meta‑analysis.","authors":"Paolo Brigato, Sergio De Salvatore, Leonardo Oggiano, Davide Palombi, Gian Mario Sangiovanni, Gianmichele Di Cosimo, Daniela Perrotta, Laura Ruzzini, Pier Francesco Costici","doi":"10.1007/s43390-025-01040-z","DOIUrl":"https://doi.org/10.1007/s43390-025-01040-z","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent idiopathic scoliosis surgery (AIS) is often associated with high costs and significant recovery challenges. Enhanced recovery after surgery (ERAS) protocols aim to improve outcomes, reducing hospital stays and complications compared to traditional (TD) pathways. This study evaluates the impact of ERAS protocols on AIS treatment.</p><p><strong>Methods: </strong>Following PRISMA guidelines, a systematic review identified 30 studies (n = 15,954 patients). Search terms included \"ERAS,\" \"adolescent idiopathic scoliosis,\" and \"posterior spinal fusion.\" Outcomes assessed included surgical metrics, recovery milestones, complications, and pain. A meta-analysis was performed, and the risk of bias was evaluated using the MINORS score.</p><p><strong>Results: </strong>ERAS patients (n = 5582) had shorter surgical durations (- 23 min, p = 0.08) and reduced blood loss (- 126 mL, p = 0.033) compared to TD patients (n = 7916). Recovery milestones improved, including earlier ambulation (- 37.4 h, p < 0.0001), patient-controlled analgesia discontinuation (- 1.1 days, p < 0.0001), catheter removal (- 0.75 days, p < 0.001), and shorter hospital stays (- 1.7 days, p < 0.0001). Complications were lower in the ERAS group (4% vs. 8%, p = 0.0074), while wound-related complications and 30-day readmission rates were comparable. Pain scores were significantly reduced from surgery day to postoperative day 2 (p < 0.0181).</p><p><strong>Conclusion: </strong>ERAS protocols improve recovery and reduce complications in AIS surgery, with shorter hospital stays and enhanced patient outcomes. These findings support broader implementation and further randomized trials to evaluate long-term benefits and patient satisfaction.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty years later: the lingering effects of adolescent idiopathic scoliosis surgery with third-generation implants on quality of life.","authors":"Antonia Matamalas, Juan Bagó, Franciso Javier Sánchez Pérez-Grueso, Lucía Moreno-Manzano, Javier Pizones, Carlos Villanueva, Susana Núñez-Pereira, Sleiman Haddad, Ferrán Pellisé","doi":"10.1007/s43390-024-01034-3","DOIUrl":"https://doi.org/10.1007/s43390-024-01034-3","url":null,"abstract":"<p><strong>Purpose: </strong>To determine patient-reported clinical status in a cohort of patients operated on during adolescence for adolescent idiopathic scoliosis (AIS) using Cotrel-Dubousset instrumentation after a minimum follow-up (FU) of 25 years.</p><p><strong>Methods: </strong>Multicentric cross-sectional observational study. We assessed the clinical status of patients using the lumbar-pain numeric rating scale (NRS), ODI, SRS-22r, SF-36, and EQ-5D-5L. For NRS and SRS-22r, the reported \"Patient Acceptable Symptom State\" (PASS +) was used as a reference for normality. Further, normative data were used for SF-36 and EQ-5D-5L.</p><p><strong>Results: </strong>Out of 226 eligible patients, 152 (67% of the total; 87% female) were included (mean FU = 29.6 years). The mean age at FU was 45.1 years (SD3.4; range 36-55). The PASS + status was achieved by 56.7% of patients on the SRS-22 subtotal score, 56% of patients in the NRS and 56.8% in the ODI questionnaire achieving PASS + state. Significant differences were found between the normative values for the SF-36 and EQ-5D-5L scores, but the magnitude of the differences was not clinically relevant. Clinically significant differences were found for SF-36 bodily pain (43.0 vs. 50.0; p < 0.001), SF-36 PCS (42.8 vs. 50.0; p = 0.0001) and EQ-5D-5L pain score, with the scoliotic population having 4.1 times more risk of severe/extreme pain than their peers.</p><p><strong>Conclusions: </strong>Thirty years after surgery, AIS patients have more pain and worse physical functioning than their peers. However, the differences are not clinically relevant except for pain and physical activity. Further, on average, the former are in good clinical condition, although surgery has not normalized their lives.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}