20 Thoracoplasty
Harry L. Shufflebarger and Stephen G. George Summary Thoracoplasty in the setting of scoliosis surgery has been used for decades as a method to improve postoperative cosmesis and as…
18 Surgical Treatment of Lumbar and Thoracolumbar Curve Patterns (Lenke V)
Stephen G. George, Firoz Miyanji, and Harry L. Shufflebarger Summary Posterior spinal fusion utilizing segmental pedicle screws and multilevel Ponte osteotomy has become the standard in the surgical treatment…
19 The Surgical Treatment of Double and Triple Curves (Lenke Types 3, 4, and 6)
Umesh S. Metkar, Garrett R. Leonard, William F. Lavelle, Burt Yaszay, and Baron S. Lonner Summary Double and triple curves (Lenke types 3, 4, and 6) are the rarest…
17 Assessment and Management of Shoulder Balance
Joshua M. Pahys, Mark F. Abel, and Lawrence G. Lenke Summary The ability to achieve balanced shoulders after spinal fusion for adolescent idiopathic scoliosis has proven to be challenging,…
16 Surgical Treatment of the Right Thoracic Curve Pattern
Peter O. Newton and Vidyadhar V. Upasani Summary The right main thoracic (MT) curve pattern is the prototypic scoliotic deformity seen in adolescent idiopathic scoliosis (AIS). This chapter addresses…
15 Posterior Releases: Pontes and Three-Column Osteotomies
Michael P. Kelly, Ronald A. Lehman Jr., and Munish C. Gupta Summary All-posterior treatment of pediatric spinal deformity, including adolescent idiopathic scoliosis (AIS), is now used for the most…
10 Selective versus Nonselective Fusion for Adolescent Idiopathic Scoliosis
Daniel J. Sucato Summary Selective fusion for adolescent idiopathic scoliosis is a technique in which either the thoracic or the thoracolumbar/lumbar curves are fused when there is an associated…
11 Selection of Fusion Levels
Steven W. Hwang, Amer F. Samdani, and David H. Clements III Summary The goal of surgical correction in adolescent idiopathic scoliosis (AIS) is to provide an optimally balanced spine…
12 Posterior Correction Techniques in Adolescent Idiopathic Scoliosis
Suken A. Shah and David H. Clements III Summary Posterior correction of the three-dimensional deformity of idiopathic scoliosis requires selection of levels to instrument, appropriate placement of anchors that…
14 Indications and Techniques for Anterior Release and Fusion
Keith Bachmann and Peter O. Newton Summary Anterior release and fusion of the spine is an important technique for pediatric spine surgeons. While infrequently employed, the release or removal…
