{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:42:49Z","timestamp":1791549769932,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T00:00:00Z","timestamp":1658707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81960413"],"award-info":[{"award-number":["81960413"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>As the population in general is living longer, less invasive adult degenerative scoliosis (ADS) surgery that balances risks and benefits requires long\u2010term clinical outcomes to determine its strengths and weaknesses. We design a retrospective study to compare the postoperative mid\u2010 and long\u2010term outcomes in terms of efficacy, surgical complications, and reoperation rate of patients with ADS treated with two different surgical approaches (long\u2010segment complete reconstruction or short\u2010segment limited intervention).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, 78 patients with ADS (<jats:styled-content style=\"fixed-case\">Lenke\u2013Silva<\/jats:styled-content> levels III or higher), who accepted surgical treatment at our hospital between June 2012 and June 2019 were included. These patients were assigned to the long\u2010segment radical group (complete decompression with deformity correction involves \u22653 segments) and the short\u2010segment limited group (symptomatic segment decompression involves &lt;3 segments). In addition, general information such as age, gender, fixed segment number, efficacy, radiographic parameters, and reoperation rate of patients in the two groups were compared and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences between the two groups with regard to gender, follow\u2010up time, long\u2010term surgical complications and reoperation rate (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). The mean age of patients in the long\u2010segment strategy group was 57.1\u2009\u00b1\u20097.9\u2009years, with a mean number of fixed segments of 7.9\u2009\u00b1\u20092.4. The mean age of patients in the short\u2010segment strategy group was 60.8\u2009\u00b1\u20098.4\u2009years, with a mean number of fixed segments of 1.4\u2009\u00b1\u20090.5. At the final follow\u2010up visit, the long\u2010segment radical group showed better results than the short\u2010segment limited group with regard to coronal Cobb angle, lumbar lordosis angle and sagittal balance (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The long\u2010segment strategy group had a higher implant\u2010related complication rate (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.010); the adjacent segment\u2010related complication in the two groups showed no significant difference (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.068).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Considering the risk, rehabilitation pathway and costs of long\u2010segment radical surgery, short\u2010segment limited intervention is a better strategy for patients who cannot tolerate the long\u2010segment surgery, improving symptoms and maintaining efficacy in the mid\u2010 and long\u2010term, and not increasing the reoperation rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13418","type":"journal-article","created":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T10:27:47Z","timestamp":1658744867000},"page":"2006-2015","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Mid\u2010 and Long\u2010Term Comparison Analysis of Two Approaches for the Treatment of Level <scp>III<\/scp> or Higher <scp>Lenke\u2013Silva<\/scp> Adult Degenerative Scoliosis: Radical or Limited Surgery?"],"prefix":"10.1111","volume":"14","author":[{"given":"Zhibo","family":"Song","sequence":"first","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoquan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochen","family":"Yang","sequence":"additional","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Li","sequence":"additional","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ni","family":"Bi","sequence":"additional","affiliation":[{"name":"Orthopedics Department The Second Affiliated Hospital of Kunming Medical University  Kunming 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