{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:20:17Z","timestamp":1789532417618,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,10,23]],"date-time":"2021-10-23T00:00:00Z","timestamp":1634947200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2021,10,23]]},"abstract":"<jats:p>Objectives. Scheuermann\u2019s kyphosis can cause severe back pain and cosmetic disorders to patients. Previous studies on surgical procedure selection for correction of Scheuermann\u2019s kyphosis have drawn controversial conclusions. Here, a meta-analysis was performed to figure out a better way between anterior-posterior (AP) combined procedures and posterior-only (PO) procedures. Methods. We searched PubMed database and Ovid database, as well as Cochrane Library (between January 2009 and December 2020, around recent ten years), for studies reporting Scheuermann\u2019s kyphosis correction in an anterior way or a posterior way. Random effects meta-analysis regarding correction degrees and incidence of proximal junctional kyphosis (PJK) was performed. Results. Finally, 13 unique studies including 586 patients (AP: 300; PO: 286) were identified and included for this meta-analysis. Overall, 6 AP cohorts and 10 PO cohorts were pooled regarding the correction degrees of kyphosis in the analysis, respectively. Pooled correction degrees in AP cohorts were 33.31 (95% CI: 27.48\u201339.15; I2\u2009=\u200986%, <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.001<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>) and in PO cohorts were 31.16 (95% CI: 26.97\u201335.35; I2\u2009=\u200981.1%, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.001<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). Comparison of correction between AP and PO cohorts did not indicate any significant difference. Likewise, postoperative PJK incidence showed no difference. Back pain can be caused by both AP and PO procedures, but which causes less pain remains to be conclusive. The PO approach showed less blood loss and shorter surgical duration as compared to the AP approach. Conclusions. In summary, this meta-analysis shows similar treatment effects between AP and PO procedures in correcting Scheuermann\u2019s kyphosis, suggesting the advantage of PO procedures due to less blood loss and surgical duration. However, the postoperative complications PJK and distal junctional kyphosis (DJK) cannot be well concluded due to the limitation of existing data.<\/jats:p>","DOI":"10.1155\/2021\/2142964","type":"journal-article","created":{"date-parts":[[2021,10,23]],"date-time":"2021-10-23T12:05:08Z","timestamp":1634990708000},"page":"1-9","source":"Crossref","is-referenced-by-count":11,"title":["Surgical Procedures Used for Correction of Scheuermann\u2019s Kyphosis: A Meta-Analysis"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5564-0860","authenticated-orcid":true,"given":"Qingshan","family":"Li","sequence":"first","affiliation":[{"name":"Fourth Department of Orthopedics, Handan Central Hospital of Hebei Province, Handan 056001, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3171\/2021.1.SPINE202086"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1724078"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-004-0750-0"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2017.11.4.513"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2017.11.012"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5633-x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4632-z"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062050-00003"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000238977.36165.b8"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2014.09.048"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000003588"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2012.05.024"},{"issue":"4","key":"13","first-page":"4899","article-title":"Bone fracture and the interaction between bisphosphonates and proton pump inhibitors: a meta-analysis","volume":"8","author":"S. 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