{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:14:09Z","timestamp":1783757649195,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2407206"],"award-info":[{"award-number":["2022YFC2407206"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005088","name":"Beijing Municipal Health Commission","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005088","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Neuromuscular scoliosis (NMS) is a complex deformity requiring individualized surgical strategies focused on improving sitting balance and quality of life. This study aimed to evaluate the clinical efficacy and safety of multilevel asymmetrical Ponte osteotomy (MAPO) in NMS patients, compared to conventional posterior fusion without osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted on 90 patients with NMS who underwent posterior spinal correction between 2015 and 2021. Patients were divided into a MAPO group (n = 52) and a control group (n = 38). Radiographic parameters and health-related quality of life (SRS-22) were assessed preoperatively, postoperatively, and at \u22652-year follow-up. Perioperative data, including operative time, blood loss, transfusion volume, and complications, were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were comparable. The MAPO group achieved significantly greater correction in major curve angle (49.75% vs 46.34%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.031), pelvic obliquity (25.26% vs 20.81%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.048), and sagittal vertical axis (33.99% vs 30.08%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.045). Postoperative satisfaction (4.43 \u00b1 0.55 vs 4.11 \u00b1 0.57,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.026) and function scores (4.39 \u00b1 0.48 vs 4.10 \u00b1 0.61,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.040) were also significantly higher in the MAPO group. However, MAPO was associated with longer operative time (311 vs 229\u00a0min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), greater blood loss (685 vs 289\u00a0mL,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and a trend toward increased complications, including wound issues and CSF leaks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MAPO offers improved deformity correction and higher patient satisfaction compared to non-osteotomy procedures in NMS, though with increased surgical complexity. It may serve as a valuable option for selected patients when balancing benefits and risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251408398","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T07:32:11Z","timestamp":1765179131000},"page":"2526-2536","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Multilevel Asymmetrical Ponte Osteotomy in Neuromuscular Scoliosis: A 2-Year Retrospective Comparison"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0112-1678","authenticated-orcid":false,"given":"Zhangfu","family":"Li","sequence":"first","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"},{"name":"Peking Union Medical College, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Han","sequence":"additional","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"},{"name":"Beijing Research Institute of Traumatology and Orthopaedics, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5300-1283","authenticated-orcid":false,"given":"Honghao","family":"Yang","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunsheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangpu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7206-325X","authenticated-orcid":false,"given":"Yong","family":"Hai","sequence":"additional","affiliation":[{"name":"Beijing Chaoyang Hospital, Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University of China, Beijing, China"},{"name":"Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,7]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.3171\/2017.7.FOCUS17384"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2013.05.015"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-36981-w"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.11.002"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.31.BJO-2021-0178.R1"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2143246.623"},{"key":"e_1_3_6_8_2","first-page":"75","volume-title":"Surgical treatment of Scheuermann\u2019s hyperkyphosis Progress in Spinal Pathology: Kyphosis","author":"Ponte A","year":"1984","unstructured":"Ponte A, Vero B, Siccardi GL. Surgical treatment of Scheuermann\u2019s hyperkyphosis Progress in Spinal Pathology: Kyphosis. Bologna: Italy Aulo Gaggi; 1984, 75-80."},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2017.06.006"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-04371-7"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03390-0"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3505-6"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-022-05572-1"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.03.173"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003101"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.106165"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051497"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200301010-00017"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200301010-00015"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200301010-00016"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2017(02)02"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000420"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001057"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13040602"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251408398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682251408398","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251408398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T07:51:10Z","timestamp":1783756270000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682251408398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,7]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/21925682251408398"],"URL":"https:\/\/doi.org\/10.1177\/21925682251408398","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,7]]}}}