{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T20:17:45Z","timestamp":1767212265214,"version":"3.41.0"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>This study aimed to investigate reversal of vertebral wedging and to evaluate the contribution of vertebral remodeling to correction maintenance in patients with adolescent Scheuermann\u2019s kyphosis (SK) after posterior-only instrumented correction.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A retrospective cohort study of patients with SK was performed. In total, 45 SK patients aged 10\u201320 years at surgery were included. All patients received at least 24 months of follow-up and had Risser sign greater than grade 4 at latest follow-up. Patients with Risser grade 3 or less at surgery were assigned to the low-Risser group, whereas those with Risser grade 4 or 5 were assigned to the high-Risser group. Radiographic data and patient-reported outcomes were collected preoperatively, immediately postoperatively, and at latest follow-up and compared between the two groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Remarkable postoperative correction of global kyphosis was observed, with similar correction rates between the two groups (p = 0.380). However, correction loss was slightly but significantly less in the low-Risser group during follow-up (p &lt; 0.001). The ratio between anterior vertebral body height (AVBH) and posterior vertebral body height (PVBH) of deformed vertebrae notably increased in SK patients from postoperation to latest follow-up (p &lt; 0.05). Loss of correction of global kyphosis was significantly and negatively correlated with increased AVBH\/PVBH ratio. Compared with the high-Risser group, the low-Risser group had significantly greater increase in AVBH\/PVBH ratio during follow-up (p &lt; 0.05). The two groups had similar preoperative and postoperative Scoliosis Research Society\u201322 questionnaire scores for all domains.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Obvious reversal in wedge deformation of vertebrae was observed in adolescent SK patients. Patients with substantial growth potential had greater vertebral remodeling and less correction loss. Structural remodeling of vertebral bodies has a positive effect and protects against correction loss. These results could be help guide treatment decision-making.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2021.1.spine202086","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T07:18:21Z","timestamp":1628234301000},"page":"486-494","source":"Crossref","is-referenced-by-count":2,"title":["Contribution of postoperative vertebral remodeling to reversal of vertebral wedging and prevention of correction loss in patients with adolescent Scheuermann\u2019s kyphosis"],"prefix":"10.3171","volume":"35","author":[{"given":"Sinian","family":"Wang","sequence":"first","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Xu","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muyi","family":"Wang","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Qiu","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zezhang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Wang","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Sun","sequence":"additional","affiliation":[{"name":"Spine Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"128","key":"b1","series-title":"Clin Orthop Relat Res","first-page":"5","article-title":"The classic: kyphosis dorsalis juvenilis","author":"Scheuermann HW","year":"1977","unstructured":"Scheuermann HW. The classic: kyphosis dorsalis juvenilis.Clin Orthop Relat Res. 1977;(128):5\u20137.340099"},{"issue":"19)(suppl","key":"b2","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S115","DOI":"10.1097\/BRS.0b013e3181354501","article-title":"Evidence based medicine: analysis of Scheuermann kyphosis","volume":"32","author":"Lowe TG","year":"2007","unstructured":"Lowe TG, Line BG. Evidence based medicine: analysis of Scheuermann kyphosis. Spine (Phila Pa 1976).2007;32(19)(suppl):S115\u2013S119.10.1097\/BRS.0b013e318135450117728677"},{"issue":"3","key":"b3","series-title":"Joint Bone Spine","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.jbspin.2013.11.012","article-title":"Scheuermann\u2019s disease: an update","volume":"81","author":"Palazzo C","year":"2014","unstructured":"Palazzo C, Sailhan F, Revel M. Scheuermann\u2019s disease: an update. Joint Bone Spine. 2014;81(3):209\u2013214.10.1016\/j.jbspin.2013.11.01224468666"},{"issue":"2","key":"b4","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.nec.2007.02.011","article-title":"Scheuermann\u2019s kyphosis","volume":"18","author":"Lowe TG","year":"2007","unstructured":"Lowe TG. Scheuermann\u2019s kyphosis. Neurosurg Clin N Am. 2007;18(2):305\u2013315.1755613210.1016\/j.nec.2007.02.011"},{"issue":"20","key":"b5","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2316","DOI":"10.1097\/01.brs.0000238977.36165.b8","article-title":"Comparison of Scheuermann kyphosis correction by posterior-only thoracic pedicle screw fixation versus combined anterior\/posterior fusion","volume":"31","author":"Lee SS","year":"2006","unstructured":"Lee SS, Lenke LG, Kuklo TR,  Comparison of Scheuermann kyphosis correction by posterior-only thoracic pedicle screw fixation versus combined anterior\/posterior fusion. Spine (Phila Pa 1976).2006;31(20):2316\u20132321.10.1097\/01.brs.0000238977.36165.b816985459"},{"issue":"19","key":"b6","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1691","DOI":"10.2106\/JBJS.18.00287","article-title":"Anterior spinal growth tethering for skeletally immature patients with scoliosis: a retrospective look two to four years postoperatively","volume":"100","author":"Newton PO","year":"2018","unstructured":"Newton PO, Kluck DG, Saito W,  Anterior spinal growth tethering for skeletally immature patients with scoliosis: a retrospective look two to four years postoperatively. J Bone Joint Surg Am. 2018;100(19):1691\u20131697.10.2106\/JBJS.18.0028730277999"},{"issue":"suppl 7","key":"b7","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1007\/s00586-015-4253-y","article-title":"Does surgery for Scheuermann kyphosis influence sagittal spinopelvic parameters?","volume":"24","author":"Faldini C","year":"2015","unstructured":"Faldini C, Traina F, Perna F,  Does surgery for Scheuermann kyphosis influence sagittal spinopelvic parameters?. Eur Spine J. 2015;24(suppl 7):893\u2013897.10.1007\/s00586-015-4253-y26441254"},{"issue":"7","key":"b8","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1420","DOI":"10.1007\/s00586-014-3266-2","article-title":"Sagittal spinopelvic alignment in adolescents associated with Scheuermann\u2019s kyphosis: a comparison with normal population","volume":"23","author":"Jiang L","year":"2014","unstructured":"Jiang L, Qiu Y, Xu L,  Sagittal spinopelvic alignment in adolescents associated with Scheuermann\u2019s kyphosis: a comparison with normal population. Eur Spine J. 2014;23(7):1420\u20131426.2463908010.1007\/s00586-014-3266-2"},{"issue":"6","key":"b9","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1097\/00007632-199903150-00006","article-title":"Spinal growth and a histologic evaluation of the Risser grade in idiopathic scoliosis","volume":"24","author":"Noordeen MH","year":"1999","unstructured":"Noordeen MH, Haddad FS, Edgar MA, Pringle J. Spinal growth and a histologic evaluation of the Risser grade in idiopathic scoliosis. Spine (Phila Pa 1976).1999;24(6):535\u2013538.10.1097\/00007632-199903150-00006"},{"issue":"17","key":"b10","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1849","DOI":"10.1097\/BRS.0b013e3181ab358c","article-title":"Correlation of Risser sign, radiographs of hand and wrist with the histological grade of iliac crest apophysis in girls with adolescent idiopathic scoliosis","volume":"34","author":"Wang WW","year":"2009","unstructured":"Wang WW, Xia CW, Zhu F,  Correlation of Risser sign, radiographs of hand and wrist with the histological grade of iliac crest apophysis in girls with adolescent idiopathic scoliosis. Spine (Phila Pa 1976).2009;34(17):1849\u20131854.10.1097\/BRS.0b013e3181ab358c19644336"},{"key":"b11","series-title":"Nat Commun","doi-asserted-by":"publisher","first-page":"8355","DOI":"10.1038\/ncomms9355","article-title":"Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls","volume":"6","author":"Zhu Z","year":"2015","unstructured":"Zhu Z, Tang NL, Xu L,  Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls. Nat Commun. 2015;6:8355.2639418810.1038\/ncomms9355"},{"issue":"8","key":"b12","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1097\/BSD.0b013e31803d3b16","article-title":"The Ponte procedure: posterior only treatment of Scheuermann\u2019s kyphosis using segmental posterior shortening and pedicle screw instrumentation","volume":"20","author":"Geck MJ","year":"2007","unstructured":"Geck MJ, Macagno A, Ponte A, Shufflebarger HL. The Ponte procedure: posterior only treatment of Scheuermann\u2019s kyphosis using segmental posterior shortening and pedicle screw instrumentation. J Spinal Disord Tech. 2007;20(8):586\u2013593.10.1097\/BSD.0b013e31803d3b1618046172"},{"issue":"13","key":"b13","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E758","DOI":"10.1097\/BRS.0000000000002489","article-title":"Adding satellite rods to standard two-rod construct with the use of duet screws: an effective technique to improve surgical outcomes and preventing proximal junctional kyphosis in posterior-only correction of Scheuermann kyphosis","volume":"43","author":"Zhu ZZ","year":"2018","unstructured":"Zhu ZZ, Chen X, Qiu Y,  Adding satellite rods to standard two-rod construct with the use of duet screws: an effective technique to improve surgical outcomes and preventing proximal junctional kyphosis in posterior-only correction of Scheuermann kyphosis. Spine (Phila Pa 1976).2018;43(13):E758\u2013E765.10.1097\/BRS.000000000000248929189571"},{"issue":"4","key":"b14","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"493","DOI":"10.3171\/2019.3.SPINE1916","article-title":"How does the cervical spine respond to hyperkyphosis correction in Scheuermann\u2019s disease?","volume":"31","author":"Xu L","year":"2019","unstructured":"Xu L, Shi B, Qiu Y,  How does the cervical spine respond to hyperkyphosis correction in Scheuermann\u2019s disease?. J Neurosurg Spine. 2019;31(4):493\u2013500.10.3171\/2019.3.SPINE1916"},{"issue":"9","key":"b15","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.1016\/j.spinee.2019.04.007","article-title":"Curve patterns deserve attention when determining the optimal distal fusion level in correction surgery for Scheuermann kyphosis","volume":"19","author":"Zhu W","year":"2019","unstructured":"Zhu W, Sun X, Pan W,  Curve patterns deserve attention when determining the optimal distal fusion level in correction surgery for Scheuermann kyphosis. Spine J. 2019;19(9):1529\u20131539.10.1016\/j.spinee.2019.04.00730986575"},{"issue":"3","key":"b16","series-title":"Rheumatology (Oxford)","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1093\/rheumatology\/39.3.310","article-title":"A comparison of three methods for measuring thoracic kyphosis: implications for clinical studies","volume":"39","author":"Goh S","year":"2000","unstructured":"Goh S, Price RI, Leedman PJ, Singer KP. A comparison of three methods for measuring thoracic kyphosis: implications for clinical studies. Rheumatology (Oxford). 2000;39(3):310\u2013315.10.1093\/rheumatology\/39.3.31010788541"},{"issue":"4","key":"b17","series-title":"Clin Radiol","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/S0009-9260(96)80342-4","article-title":"The relative contribution of disc and vertebral morphometry to the angle of kyphosis in asymptomatic subjects","volume":"51","author":"Manns RA","year":"1996","unstructured":"Manns RA, Haddaway MJ, McCall IW,  The relative contribution of disc and vertebral morphometry to the angle of kyphosis in asymptomatic subjects. Clin Radiol. 1996;51(4):258\u2013262.10.1016\/S0009-9260(96)80342-48617037"},{"issue":"7","key":"b18","series-title":"Clin Biomech (Bristol, Avon)","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/S0268-0033(98)00105-3","article-title":"The relative influence of vertebral body and intervertebral disc shape on thoracic kyphosis","volume":"14","author":"Goh S","year":"1999","unstructured":"Goh S, Price RI, Leedman PJ, Singer KP. The relative influence of vertebral body and intervertebral disc shape on thoracic kyphosis. Clin Biomech (Bristol, Avon). 1999;14(7):439\u2013448.10.1016\/S0268-0033(98)00105-310521627"},{"issue":"1","key":"b19","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1007\/s00586-013-2894-2","article-title":"Surgical treatment of Scheuermann\u2019s kyphosis using a combined antero-posterior strategy and pedicle screw constructs: efficacy, radiographic and clinical outcomes in 111 cases","volume":"23","author":"Koller H","year":"2014","unstructured":"Koller H, Juliane Z, Umstaetter M,  Surgical treatment of Scheuermann\u2019s kyphosis using a combined antero-posterior strategy and pedicle screw constructs: efficacy, radiographic and clinical outcomes in 111 cases. Eur Spine J. 2014;23(1):180\u2013191.2389305210.1007\/s00586-013-2894-2"},{"issue":"16","key":"b20","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E1086","DOI":"10.1097\/BRS.0b013e318201b6c7","article-title":"Do discs \u201copen\u201d anteriorly with posterior-only correction of Scheuermann\u2019s kyphosis?","volume":"36","author":"Tsutsui S","year":"2011","unstructured":"Tsutsui S, Pawelek JB, Bastrom TP,  Do discs \u201copen\u201d anteriorly with posterior-only correction of Scheuermann\u2019s kyphosis?. Spine (Phila Pa 1976).2011;36(16):E1086\u2013E1092.10.1097\/BRS.0b013e318201b6c721358493"},{"issue":"25","key":"b21","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E952","DOI":"10.1097\/01.brs.0000248810.77151.22","article-title":"Static versus dynamic loading in the mechanical modulation of vertebral growth","volume":"31","author":"Akyuz E","year":"2006","unstructured":"Akyuz E, Braun JT, Brown NA, Bachus KN. Static versus dynamic loading in the mechanical modulation of vertebral growth. Spine (Phila Pa 1976).2006;31(25):E952\u2013E958.10.1097\/01.brs.0000248810.77151.2217139211"},{"issue":"12","key":"b22","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1097\/01.brs.0000218662.78165.b1","article-title":"Mechanical modulation of vertebral growth in the fusionless treatment of progressive scoliosis in an experimental model","volume":"31","author":"Braun JT","year":"2006","unstructured":"Braun JT, Hoffman M, Akyuz E,  Mechanical modulation of vertebral growth in the fusionless treatment of progressive scoliosis in an experimental model. Spine (Phila Pa 1976).2006;31(12):1314\u20131320.10.1097\/01.brs.0000218662.78165.b1"},{"issue":"16","key":"b23","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1097\/01.brs.0000227263.43060.50","article-title":"Relative versus absolute modulation of growth in the fusionless treatment of experimental scoliosis","volume":"31","author":"Braun JT","year":"2006","unstructured":"Braun JT, Hines JL, Akyuz E,  Relative versus absolute modulation of growth in the fusionless treatment of experimental scoliosis. Spine (Phila Pa 1976).2006;31(16):1776\u20131782.10.1097\/01.brs.0000227263.43060.5016845350"},{"issue":"4","key":"b24","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1002\/jor.1100170409","article-title":"Mechanical modulation of growth for the correction of vertebral wedge deformities","volume":"17","author":"Mente PL","year":"1999","unstructured":"Mente PL, Aronsson DD, Stokes IA, Iatridis JC. Mechanical modulation of growth for the correction of vertebral wedge deformities. J Orthop Res. 1999;17(4):518\u2013524.1045975710.1002\/jor.1100170409"},{"key":"b25","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"591","DOI":"10.2106\/00004623-196244040-00001","article-title":"Treatment of scoliosis. Correction and internal fixation by spine instrumentation","volume":"44-A","author":"Harrington PR","year":"1962","unstructured":"Harrington PR. Treatment of scoliosis. Correction and internal fixation by spine instrumentation. J Bone Joint Surg Am. 1962;44-A:591\u2013610.10.2106\/00004623-196244040-0000114036052"},{"key":"b26","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/00003086-198007000-00024","article-title":"Modern concepts of treatment of spinal deformities in children and adults","volume":"150","author":"Moe JH","year":"1980","unstructured":"Moe JH. Modern concepts of treatment of spinal deformities in children and adults. Clin Orthop Relat Res. 1980;(150):137\u2013153.10.1097\/00003086-198007000-00024"},{"issue":"2","key":"b27","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1097\/BPO.0b013e3182471915","article-title":"Vertebral body growth during growing rod instrumentation: growth preservation or stimulation?","volume":"32","author":"Olgun ZD","year":"2012","unstructured":"Olgun ZD, Ahmadiadli H, Alanay A, Yazici M. Vertebral body growth during growing rod instrumentation: growth preservation or stimulation?. J Pediatr Orthop. 2012;32(2):184\u2013189.10.1097\/BPO.0b013e3182471915"},{"issue":"6","key":"b28","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1748","DOI":"10.1007\/s00586-016-4910-9","article-title":"Growth modulation and remodeling by means of posterior tethering technique for correction of early-onset scoliosis with thoracolumbar kyphosis","volume":"26","author":"Ahmad AA","year":"2017","unstructured":"Ahmad AA, Aker L, Hanbali Y,  Growth modulation and remodeling by means of posterior tethering technique for correction of early-onset scoliosis with thoracolumbar kyphosis. Eur Spine J. 2017;26(6):1748\u20131755.10.1007\/s00586-016-4910-927942940"},{"issue":"11","key":"b29","series-title":"Am J Orthop","first-page":"798","article-title":"Hyphenated history: the Hueter-Volkmann law","volume":"26","author":"Mehlman CT","year":"1997","unstructured":"Mehlman CT, Araghi A, Roy DR. Hyphenated history: the Hueter-Volkmann law. Am J Orthop. 1997;26(11):798\u2013800.9402217"},{"issue":"15","key":"b30","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1648","DOI":"10.1097\/BRS.0b013e318074c3ed","article-title":"Histologic, Risser sign, and digital skeletal age evaluation for residual spine growth potential in Chinese female idiopathic scoliosis","volume":"32","author":"Wang S","year":"2007","unstructured":"Wang S, Qiu Y, Ma Z,  Histologic, Risser sign, and digital skeletal age evaluation for residual spine growth potential in Chinese female idiopathic scoliosis. Spine (Phila Pa 1976).2007;32(15):1648\u20131654.10.1097\/BRS.0b013e318074c3ed17621213"},{"issue":"5","key":"b31","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1097\/00007632-199105000-00004","article-title":"Vertebral alterations in Scheuermann\u2019s kyphosis","volume":"16","author":"Scoles PV","year":"1991","unstructured":"Scoles PV, Latimer BM, DiGiovanni BF,  Vertebral alterations in Scheuermann\u2019s kyphosis. Spine (Phila Pa 1976).1991;16(5):509\u2013515.10.1097\/00007632-199105000-000042052992"},{"issue":"1","key":"b32","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.jspd.2017.06.006","article-title":"The true Ponte osteotomy: by the one who developed it","volume":"6","author":"Ponte A","year":"2018","unstructured":"Ponte A, Orlando G, Siccardi GL. The true Ponte osteotomy: by the one who developed it. Spine Deform. 2018;6(1):2\u201311.10.1016\/j.jspd.2017.06.00629287812"},{"key":"b33","series-title":"Clin Orthop Relat Res","first-page":"56","article-title":"Correction and stabilization of angular kyphosis","volume":"258","author":"B\u00f6hm H","year":"1990","unstructured":"B\u00f6hm H, Harms J, Donk R, Zielke K. Correction and stabilization of angular kyphosis. Clin Orthop Relat Res. 1990;(258):56\u201361."},{"issue":"1","key":"b34","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"36","DOI":"10.5435\/00124635-199801000-00004","article-title":"Scheuermann\u2019s kyphosis in adolescents and adults: diagnosis and management","volume":"6","author":"Tribus CB","year":"1998","unstructured":"Tribus CB. Scheuermann\u2019s kyphosis in adolescents and adults: diagnosis and management. J Am Acad Orthop Surg. 1998;6(1):36\u201343.10.5435\/00124635-199801000-000049692939"},{"issue":"2","key":"b35","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1007\/s00586-001-0349-7","article-title":"The sagittal anatomy of the sacrum among young adults, infants, and spondylolisthesis patients","volume":"11","author":"Marty C","year":"2002","unstructured":"Marty C, Boisaubert B, Descamps H,  The sagittal anatomy of the sacrum among young adults, infants, and spondylolisthesis patients. Eur Spine J. 2002;11(2):119\u2013125.1195691710.1007\/s00586-001-0349-7"},{"issue":"7","key":"b36","series-title":"Zhonghua Yi Xue Za Zhi","first-page":"461","article-title":"Assessment of the residual spine growth potential in idiopathic scoliosis by Risser sign and histological grading. Article in Chinese","volume":"88","author":"Wang SF","year":"2008","unstructured":"Wang SF, Qiu Y, Zhu ZZ,  Assessment of the residual spine growth potential in idiopathic scoliosis by Risser sign and histological grading. Article in Chinese. Zhonghua Yi Xue Za Zhi. 2008;88(7):461\u2013464.18642786"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/4\/article-p486.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/4\/article-p486.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/4\/article-p486.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T01:01:10Z","timestamp":1751072470000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/4\/article-p486.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":36,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2021.1.spine202086","relation":{},"ISSN":["1547-5654"],"issn-type":[{"type":"print","value":"1547-5654"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}