- See:
Treatment based on King et al Algorithm
- Discussion:
- fusion mass needs to include distal vertebra of structural curve;
- if a more distal vertebra appears rotated in the same direction as more
cephalad vertebrae, it should be included in the fusion mass;
- arthrodesis should include the first stable vertebra
- this is the vertebrae that is bisceted by a line drawn thru the middle
of the spinous process of S1 perpendicular to the iliac crest;
- in low
lumbar curves, avoid extending the fusion mass past L4;
- Radiographs:
-
lateral bending x-rays help delineate structural curves from compensatory
curves which should not be included in the fusion mass;
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The selection of fusion levels in thoracic idiopathic scoliosis.
