{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T16:29:34Z","timestamp":1793291374726,"version":"4.5.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Schleswig-Holstein - Campus L\u00fcbeck"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim was to assess the clinical outcomes after posterior spinal fusion (PSF) in patients with Scheuermann\u2019s disease (SD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>SD undergoing PSF were retrospectively analyzed. Clinical outcome was determined using SRS-22- and Eq.\u00a05D-questionaires preop and after 3, 12, 24 months after surgery. Whole spine x-rays were analyzed (preop, postop, after 6, 12, 24 months): sagittal and coronary Cobb angles, and pelvic parameters were evaluated; ideal lumbar lordosis (LL) was calculated using formula of le Huec (LL\u2009=\u20090.54*PI\u2009+\u200927.6). Surgical time, complications and blood loss were compared. Postop appearance of proximal (PJF) and distal junction failure (DJF) were calculated. Values were given as mean. Comparison with significance \u03b1\u2009=\u20090.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      73 patients were included. SRS-22 total score and EQ5D showed significant increase from preop to two-year FU (each\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Preop Thoracic kyphosis (TK) was 75.1\u00b0 with significant correction to 48.5\u00b0 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). LL showed mean correction from 68.2\u00b0 to 46.7\u00b0 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Difference between ideal and measured LL showed improvement from \u2212\u200917.2\u00b0 preop to -3.3\u00b0 6 month postop, good spontaneous correction of hyperlordosis. 63% had\u2009&lt;\u200910\u00b0 deviation from ideal LL 6 month postoperatively, whereas only 21.4% were in this range preoperatively. No significant changes for spinopelvic parameters during FU. Complications occurred in 13,7% of cases. A low revision rate for PJF (2,7%) was necessary. Subscore mental health showed a correlation to preop TK (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physiological reconstruction of sagittal alignment could be achieved in most cases (63%). Clinical FU results were convincing with significant improvement of patient\u2019s satisfaction. Complication rate was moderate and risk of PJF after PSF low.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12891-024-08205-3","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T06:33:20Z","timestamp":1738046000000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior instrumented correction and fusion of Scheuermann\u00b4s results in physiological reconstruction of sagittal alignment and excellent overall clinical outcome- clinical trail of 73 patients"],"prefix":"10.1186","volume":"26","author":[{"given":"M.-L.","family":"Jensch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Platz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Quante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"K\u00f6szegvary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Thomsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Gliemroth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Berlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Halm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"8205_CR1","volume-title":"Scheuermann's juvenile kyphosis: clinical appearances, radiography, aetiology, and prognosis","author":"KH S\u00f8rensen","year":"1964","unstructured":"S\u00f8rensen KH. 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