{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:01:45Z","timestamp":1777658505190,"version":"3.51.4"},"reference-count":70,"publisher":"SAGE Publications","issue":"3_suppl","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Systematic review<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The role of limited fusions compared with extensive reconstructions of the spine has not been well defined. The objective of this study is to review the current literature and provide evidence-based recommendations regarding the magnitude of surgery for patients with adult scoliosis, including indications and limitations of short-segment (\u22643 levels) fusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was conducted using PubMed\/MEDLINE, Cochrane Library, Ovid and Google-Scholar using the following terms: \u201cadult spinal deformity\u201d, \u201cadult scoliosis\u201d, \u201cdegenerative scoliosis\u201d, \u201cscoliosis\u201d together with \u201cspinal fusion\u201d, \u201cspinal instrumentation\u201d and \u201cfusion\u201d. Inclusion criteria were comparative studies comprised of thoraco-lumbar or lumbo-sacral adult scoliosis treated with short- or long-segment fusion. Other types of deformities were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1736 articles identified from initial query, 9 studies comprised of 660 patients with adult scoliosis who underwent a short-segment fusion (SSF, n = 366) or a long-segment fusion (LSF, n = 294) were included and analyzed for clinical and radiographic outcomes. Summative results indicate that patients undergoing SSF have lower complication rates (.21\u00a0vs .36 complications\/patient), lower revision rates (9% vs 28%), and though LSF patients had greater scoliotic curvatures and sagittal imbalance at baseline, both groups had significant clinical improvement after surgery. However, the heterogeneous nature of the published data calls into question the reliability of these summative results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Judicious use of SSF can achieve satisfactory clinical outcomes in carefully-selected patients with adult scoliosis. Factors to consider when selecting patients for SSF include predominant symptoms, patient expectations, comorbidities and spino-pelvic parameters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682231203656","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T15:00:43Z","timestamp":1752073243000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Determining the Magnitude of Surgery in Patients With Adult Scoliosis: A Systematic Review of the Role of Limited Fusions"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0696-9213","authenticated-orcid":false,"given":"Juan Pablo","family":"Sardi","sequence":"first","affiliation":[{"name":"University of Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Lazaro","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Buell","sequence":"additional","affiliation":[{"name":"Duke University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun Po","family":"Yen","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Duke University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigurd","family":"Berven","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"AO Spine Knowledge Forum 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