{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:50:25Z","timestamp":1792669825503,"version":"4.5.0"},"reference-count":45,"publisher":"The Korean Spinal Neurosurgery Society","issue":"3","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["Neurospine"],"published-print":{"date-parts":[[2023,9,30]]},"abstract":"<jats:p>Adolescent idiopathic scoliosis (AIS) affects approximately 2% of adolescents across all ethnicities. The objectives of surgery for AIS are to halt curve progression, correct the deformity in 3 dimensions, and preserve as many mobile spinal segments as possible, avoiding junctional complications. Despite ongoing development in algorithms and classification systems for the surgical treatment of AIS, there is still considerable debate about selecting the appropriate fusion level. In this study, we review the literature on fusion selection and present current concepts regarding the lower instrumented vertebra in the selection of the fusion level for AIS surgery.<\/jats:p>","DOI":"10.14245\/ns.2346452.226","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T01:46:09Z","timestamp":1695347169000},"page":"799-807","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Selection of Optimal Lower Instrumented Vertebra for Adolescent Idiopathic Scoliosis Surgery"],"prefix":"10.14245","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3798-626X","authenticated-orcid":true,"given":"Seung-Ho","family":"Seo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2937-5300","authenticated-orcid":true,"given":"Seung-Jae","family":"Hyun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7968-6743","authenticated-orcid":true,"given":"Jae-Koo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4498-1184","authenticated-orcid":true,"given":"Yong Jae","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3304-3931","authenticated-orcid":true,"given":"Dae Jean","family":"Jo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0903-3146","authenticated-orcid":true,"given":"Jin Hoon","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8547-8545","authenticated-orcid":true,"given":"Ki-Jeong","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"On Behalf of the Korean Spinal Deformity Society","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5355","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(08)60658-3"},{"key":"ref2","first-page":"427","volume-title":"Results of SpineCor dynamic bracing for idiopathic scoliosis","author":"Szwed","year":"2009"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2040654.327"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1730-9"},{"key":"ref5","first-page":"1131","volume-title":"Selective thoracic fusion in adolescent idiopathic scoliosis: factors influencing the selection of the optimal lowest instrumented vertebra","author":"Takahashi","year":"2011"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2003.08.025"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2020.0258"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365090-00012"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2142182.091"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2244604.302"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2249938.469"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2244464.232"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2017.10.002"},{"key":"ref14","first-page":"3","volume-title":"A report of fifty-nine cases of scoliosis treated by the fusion operation","author":"Hibbs","year":"1924"},{"key":"ref15","first-page":"91","volume-title":"Scoliosis treated by the fusion operation an end-result study of three hundred and sixty cases","author":"Hibbs","year":"1931"},{"key":"ref16","first-page":"591","volume-title":"Treatment of scoliosis. 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