{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:53:49Z","timestamp":1790934829767,"version":"4.1.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate segmental changes in thoracic spinal alignment following minimally invasive bar correction in patients with pectus excavatum (PE) and pectus carinatum (PC), and to determine the relationship between these changes in upper thoracic (UT, T1-T6) and main thoracic (MT, T6-T12) curvatures and relevant clinical or surgical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 581 patients operated in 2008-2020: 433 PE (Nuss) and 148 PC (Abramson). UT and MT Cobb angles were measured on PA chest radiographs preoperatively and at early\/final postoperative follow-up. Age, sex, number of bars (1, 2, \u22653), lateral stabilizers, and retention time were recorded. Pre- vs postoperative differences were tested with paired t-tests; intersegment and covariate associations with Pearson correlation (P\u2009&amp;lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Age was 17.1\u2009\u00b1\u20094.9 (PE) and 16.6\u2009\u00b1\u20097.9 (PC). In PE, UT\/MT angles rose from 7.12\u00b0\/7.03\u00b0 (95% CI, 7.01\u00b0-8.98\u00b0\/6.29\u00b0-8.33\u00b0) to 8.47\u00b0\/7.20\u00b0 (95% CI, 8.43\u00b0-10.67\u00b0\/6.23\u00b0-8.43\u00b0); UT increased in 79.2% and MT in 49.2%. In PC, UT rose from 4.5\u00b0 (95% CI, \u22121.47\u00b0 to 18.41\u00b0) to 6.73\u00b0(95% CI, \u22122.22\u00b0 to 22.39\u00b0), while MT fell from 10.02\u00b0 (95% CI, 1.45\u00b0-12.38\u00b0) to 9.97\u00b0 (95% CI, 3.26\u00b0-15.33\u00b0); UT increased in 81.1% and MT decreased in 93.2%. These changes were not significant overall (all P\u2009&amp;gt;\u2009.05). No associations were found between UT\/MT changes and bar number, stabilizer use\/orientation, or retention time. In PE, UT and MT changes correlated weakly but significantly (r\u2009=\u20090.205, P\u2009=\u2009.006); in PC, a moderate, non-significant correlation was observed (r\u2009=\u20090.515, P\u2009=\u2009.295).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclus\u0131ons<\/jats:title>\n                    <jats:p>Minimally invasive pectus correction can influence thoracic alignment not only in the main curvature but also in the UT segment. In patients with PE, postoperative increases in UT curvature may result in mild shoulder imbalance rather than true skeletal asymmetry. Therefore, pre- and postoperative clinical evaluation of shoulder level and posture should be included in the routine assessment of pectus patients to better understand and anticipate these segment-specific alignment changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivaf310","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T12:53:42Z","timestamp":1766148822000},"source":"Crossref","is-referenced-by-count":1,"title":["Effect of Minimally Invasive Pectus Correction on Thoracic Spinal Alignment in Pectus Excavatum and Carinatum Patients: A Retrospective Cohort Study"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4201-8239","authenticated-orcid":false,"given":"Selahaddin","family":"Aydemir","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kastamonu Research and Training Hospital, 37150 Kastamonu, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2841-7249","authenticated-orcid":false,"given":"Fatma","family":"Mutlu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Eskisehir City Hospital, 26080 Eskisehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"Akin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Dokuz Eylul University School of Medicine, 35340 Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"Karci","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Dokuz Eylul University School of Medicine, 35340 Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkan","family":"Karacam","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Dokuz Eylul University School of Medicine, 35340 Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Akcali","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Dokuz Eylul University School of Medicine, 35340 Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"2026012304322704700_ivaf310-B1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1053\/j.semtcvs.2009.03.001","article-title":"Anatomical, histologic, and genetic characteristics of congenital chest wall deformities","volume":"21","author":"Fokin","year":"2009","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2026012304322704700_ivaf310-B2","doi-asserted-by":"publisher","first-page":"1687","DOI":"10.21037\/jtd-23-957","article-title":"Pectus excavatum and carinatum: a narrative review of epidemiology, etiopathogenesis, clinical features, and 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