{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:44:00Z","timestamp":1784252640413,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Both the selective thoracic fusion (STF) and nonselective thoracic fusion (NSTF) are treatments for Lenke 1C adolescent idiopathic scoliosis (AIS). To date, the impacts of the two surgical strategies on patients' long\u2010term quality of life remain unclear. Therefore, the purpose of this study was to explore the long\u2010term effects of STF\/NSTF on the quality of life in Lenke 1C AIS patients through a 4\u201310\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2011 to April 2018, according to the inclusion and exclusion criteria, a retrospective single\u2010center study of 75 surgical patients with Lenke 1C curves was performed (<jats:italic>n<\/jats:italic>\u2009=\u200975). They all underwent posterior fusion, and patients were divided into the selective thoracic fusion (STF) group (<jats:italic>n<\/jats:italic>\u2009=\u200942) and the nonselective thoracic fusion (NSTF) group (<jats:italic>n<\/jats:italic>\u2009=\u200933) based on their surgical approach. All participants received the survey of the visual analogue scale (VAS), SRS30, SF12, and Oswestry disability index (ODI) scales. Patients' gender, age, body mass index (BMI), surgical approach (STF\/NSTF), surgical segments (UIV and LIV), follow\u2010up time, complications, preoperative, postoperative, and last follow\u2010up Cobb angles, and health\u2010related quality of life (HRQOL) outcomes were collected, and analyzed through the Shapiro\u2010Wilks test, Wilcoxon rank\u2010sum test, <jats:italic>t<\/jats:italic>\u2010test, and \u03c7<jats:sup>2<\/jats:sup> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up of the entire cohort was 73\u2009\u00b1\u20095.6\u2009months. The lumbar Cobb angle in the STF group improved from 31.8\u2009\u00b1\u20096.5\u00b0 to 11.5\u2009\u00b1\u20095.1\u00b0 after the operation and 10.3\u2009\u00b1\u20096.9\u00b0 at the last follow\u2010up. The postoperative correction rate of the lumbar curve was 63.8%, which increased to 67.7% at the last follow\u2010up. In the NSTF group, the lumbar Cobb angle improved from 34.3\u2009\u00b1\u200911.3\u00b0 to 4.3\u2009\u00b1\u20093.7\u00b0 after the operation, and was 5.1\u2009\u00b1\u20093.1\u00b0 at the last follow\u2010up. The postoperative correction rate of the lumbar curve was 87.4%, and 85.1% at the last follow\u2010up. At the last follow\u2010up, the STF group had higher overall HRQOL scores than the NSTF group, and there were statistically differences between the different groups (STF\/NSTF) in SRS\u201030\u2010Mental health (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), SRS\u201030\u2010Satisfaction with management (<jats:italic>p<\/jats:italic>\u2009=\u20090.02), SRS\u201030\u2010Pain (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), ODI (<jats:italic>p<\/jats:italic>\u2009=\u20090.01), SF\u201012 PCS (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), VAS back pain (<jats:italic>p<\/jats:italic>\u2009=\u20090.005) and VAS leg pain (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). No statistically differences were found in SF12 MCS, SRS\u201030\u2010Self\u2010image\/Appearance and SRS\u201030 Function\/activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After 4\u201310\u2009years of follow\u2010up, we found that the STF group achieved satisfactory correction results, and compared with the NSTF group, their overall HRQOL scores were higher, especially in terms of pain and satisfaction, where the STF group shows a significant advantage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13977","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T04:04:35Z","timestamp":1704773075000},"page":"429-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Health\u2010related Quality of Life (<scp>HRQOL<\/scp>) Outcomes of Selective\/Nonselective Thoracic Fusion for Lenke <scp>1C<\/scp> Adolescent Idiopathic Scoliosis (<scp>AIS<\/scp>) Patients with a Minimum 4\u2010year Follow\u2010up"],"prefix":"10.1111","volume":"16","author":[{"given":"Chuan","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhipeng","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junhu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuhai","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan 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