{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:36Z","timestamp":1783491516308,"version":"3.55.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In recent years, the concept of sagittal trunk balance in patients with spinal deformity has been significantly developed. The main disorders in the sagittal plane are decreased thoracic kyphosis, compensatory decrease in lumbar and cervical lordosis, and negative sagittal balance. However, these issues remain insufficiently studied in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To show, analyze and clarify the effect of surgical correction of spinal deformity in adolescents with severe forms of idiopathic thoracic scoliosis on the parameters of sagittal balance, outcomes and efficiency of surgical treatment for sagittal balance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Patients with idiopathic thoracic scoliosis (Lenke types 1\u20133) aged 12\u201317 years underwent discapophysectomy at the apex of the main curve, intraoperative halo traction, and posterior multi-support metal fusion with stabilization in one session. All operations were performed at the G.I. Turner National Research Medical Center between 2017 and 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 5 boys (13.2%), 33 girls (86.8%) with average age of the patients was 15.0\u2009\u00b1\u20091.3 years. Main thoracic curves ranged from 80\u00b0 to 140\u00b0 according to Cobb (average\u2014102.8\u00b0). A positive correlation of moderate strength was revealed between the values of TK and SVA (Spearman correlation coefficient 0.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), a negative correlation of moderate strength between the values of TK and SSA (Spearman correlation coefficient \u22120.31,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Discapophysectomy at the apex of the main curvature, intraoperative halo traction, and correction of deformity with a posterior multi-support metal spinal fusion and stabilization in one surgical session contributed to achieving normal global and regional parameters of sagittal balance in adolescent patients with severe forms of idiopathic thoracic scoliosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1830989","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:56:30Z","timestamp":1783490190000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The outcome of surgical correction of severe scoliotic spinal deformities on sagittal balance in adolescents"],"prefix":"10.3389","volume":"14","author":[{"given":"Nurbek","family":"Nadirov","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Mother and Child Health Center, University Medical Center","place":["Astana, Kazakhstan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergey","family":"Vissarionov","sequence":"additional","affiliation":[{"name":"H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery of the Ministry of Health of the Russian Federation","place":["Saint Petersburg, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitriy","family":"Kokushin","sequence":"additional","affiliation":[{"name":"H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery of the Ministry of Health of the Russian Federation","place":["Saint Petersburg, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arman","family":"Batpen","sequence":"additional","affiliation":[{"name":"National Scientific Center of Traumatology and Orthopedics Named After Academician N. D. Batpenov","place":["Astana, Kazakhstan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marat","family":"Asadulaev","sequence":"additional","affiliation":[{"name":"H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery of the Ministry of Health of the Russian Federation","place":["Saint Petersburg, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Baidarbekov","sequence":"additional","affiliation":[{"name":"National Scientific Center of Traumatology and Orthopedics Named After Academician N. D. Batpenov","place":["Astana, Kazakhstan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Saginova","sequence":"additional","affiliation":[{"name":"National Scientific Center of Traumatology and Orthopedics Named After Academician N. D. Batpenov","place":["Astana, Kazakhstan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magauiya","family":"Nurislam","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Mother and Child Health Center, University Medical Center","place":["Astana, Kazakhstan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1007\/s00586-018-5472-9","article-title":"Sagittal balance and idiopathic scoliosis: does final sagittal alignment influence outcomes, degeneration rate or failure rate?","volume":"27","author":"Ilharreborde","year":"2018","journal-title":"Eur Spine J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s43390-020-00217-y","article-title":"Very long-term clinical and radiographic outcomes after posterior spinal fusion with pedicular screws for thoracic adolescent idiopathic scoliosis","volume":"9","author":"Darnis","year":"2021","journal-title":"Spine Deform"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12891-020-03937-4","article-title":"Patterns of coronal and sagittal deformities in adolescent idiopathic scoliosis","volume":"22","author":"Mak","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"B4","doi-asserted-by":"publisher","first-page":"497774","DOI":"10.3389\/fped.2019.00523","article-title":"Coronal balance vs. sagittal profile in adolescent idiopathic scoliosis, are they correlated?","volume":"7","author":"Ma","year":"2020","journal-title":"Front Pediatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"871117","DOI":"10.3389\/fped.2022.871117","article-title":"A comparative study of surgical correction of idiopathic scoliosis with spinal transpedicular metal structures in children","volume":"10","author":"Nadirov","year":"2022","journal-title":"Front Pediatr"},{"key":"B6","doi-asserted-by":"publisher","first-page":"118","DOI":"10.14531\/ss2010.1.18-28","article-title":"Biomechanical and clinical comments about the anterior approach for the surgical treatment of kyphosis and kyphoscoliosis in children and adolescent","volume":"1","author":"Dubousset","year":"2010","journal-title":"Hir Pozvonochnika"},{"key":"B7","doi-asserted-by":"publisher","first-page":"128","DOI":"10.17816\/PTORS678872","article-title":"Assessment of sagittal balance parameters in adolescents with severe thoracic idiopathic scoliosis","volume":"13","author":"Vissarionov","year":"2025","journal-title":"Pediatr Traumatol Orthop Reconstr Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1007\/s00586-014-3227-9","article-title":"Classification of sagittal imbalance based on spinal alignment and compensatory mechanisms","volume":"23","author":"Lamartina","year":"2014","journal-title":"Eur Spine J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"16","DOI":"10.14531\/ss2023.3.16-25","article-title":"The effect of surgical correction of Lenke types I and III scoliotic deformities on the spinal balance in patients aged 15\u201335 years","volume":"20","author":"Belozerov","year":"2023","journal-title":"Hir Pozvonochnika"},{"key":"B10","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1016\/j.spinee.2013.07.449","article-title":"Thoracal flat back is a risk factor for lumbar disc degeneration after scoliosis surgery","volume":"14","author":"Bernstein","year":"2014","journal-title":"Spine J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1948","DOI":"10.1097\/BRS.0b013e3181ff1ea9","article-title":"Long-term magnetic resonance imaging follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis","volume":"36","author":"Green","year":"2011","journal-title":"Spine (Phila Pa 1976)"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1007\/s00586-015-3875-4","article-title":"Spino-pelvic alignment influences disc hydration properties after AIS surgery: a prospective MRI-based study","volume":"24","author":"Abelin-Genevois","year":"2015","journal-title":"Eur Spine J"},{"key":"B13","doi-asserted-by":"publisher","first-page":"203\u2013","DOI":"10.1007\/s00586-012-2571-x","article-title":"Pre- and post-operative sagittal balance in idiopathic scoliosis: a comparison over the ages of two cohorts of 132 adolescents and 52 adults","volume":"22","author":"Roussouly","year":"2013","journal-title":"Eur Spine J"},{"key":"B14","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s00296-023-05439-7","article-title":"Exercise programs for scoliosis in juvenile idiopathic arthritis: a randomized-controlled study","volume":"44","author":"Kisa","year":"2024","journal-title":"Rheumatol Int"},{"key":"B15","doi-asserted-by":"publisher","first-page":"3650","DOI":"10.1007\/s00586-016-4665-3","article-title":"Normal sagittal parameters of global spinal balance in children and adolescents: a prospective study of 646 asymptomatic subjects","volume":"25","author":"Gutman","year":"2016","journal-title":"Eur Spine J"},{"key":"B16","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1007\/s00586-011-1925-0","article-title":"Pediatric sagittal alignment","author":"Mac-Thiong","year":"2011","journal-title":"Eur Spine J"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1830989\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:56:31Z","timestamp":1783490191000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1830989\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":16,"alternative-id":["10.3389\/fped.2026.1830989"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1830989","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"article-number":"1830989"}}