{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:53:34Z","timestamp":1790045614174,"version":"4.0.1"},"reference-count":53,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Systematic literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Posterior spinal fusion is the golden standard in the treatment of neuromuscular scoliosis. There are different views on whether pelvic fusion is necessary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature review according to PRISMA guidelines was performed. A total of 628 articles were screened. Original articles of neuromuscular scoliosis patients with reference to posterior spinal fusion in the population of \u226420\u00a0years of age were included. Operative technique with lumbar pedicle screws was required. Case reports, articles with missing data on pelvic parameters or with a postoperative follow-up of less than 2\u00a0years were excluded. A final of 29 original articles were included in the review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1611 patients undergoing posterior spinal fusion for neuromuscular scoliosis were included in the analysis with a mean age of 14.0 \u00b1 1.0 years and a mean number of 15.5 \u00b1 0.8 levels fused. Spinal fusion was extended to the pelvis in 1222 cases, while in 389 patients had fusion limited to the lumbar spine. The percentage of main curve correction was slightly higher in pelvic fusion patients 63 \u00b1 10% compared to 58 \u00b1 9% in lumbar fusion group,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001. Pelvic obliquity correction was superior in the pelvic fusion group, 58% compared to 42% in the spinal fusion group,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001. Operative time, complication rate and perioperative bleeding were greater in the pelvic fusion group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pelvic fusion in posterior spinal fusion for neuromuscular scoliosis results in small but statistically significant differences in curve correction and pelvic obliquity but increases the risk for perioperative bleeding and other complications. The impact on quality of life should be addressed in future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251328620","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T10:37:42Z","timestamp":1743676662000},"page":"3395-3404","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Pelvic vs Lumbar Fusion in Neuromuscular Scoliosis \u2013 A Systematic Review"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7660-3076","authenticated-orcid":false,"given":"Venla","family":"Soini","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"},{"name":"Department of Surgery, Vaasa Central Hospital, Wellbeing Services County of Ostrobothnia, Vaasa, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sini","family":"Karkkola","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9114-2204","authenticated-orcid":false,"given":"Arimatias","family":"Raitio","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Syv\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Helenius","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"},{"name":"Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-160675"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09552-8"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200010000-00002"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.14.190099"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365010-00007"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200312000-00006"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0772.R2"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000048649.72919.6B"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.31.BJO-2021-0178.R1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2340\/17453674.2023.11962"},{"issue":"2","key":"e_1_3_3_12_2","first-page":"00123","article-title":"When to perform fusion short of the pelvis in patients with cerebral palsy? indications and outcomes","volume":"8","author":"Badin D","year":"2023","unstructured":"Badin D, Baldwin KD, Cahill PJ, et al. 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