caa a22 4500 445832827 CHVBK 20180317145321.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00586-011-1899-y doi (NATIONALLICENCE)springer-10.1007/s00586-011-1899-y Taking the shoulders and pelvis into account in the preoperative classification of idiopathic scoliosis in adolescents and young adults (a constructive critique of King's and Lenke's systems of classification) [Elektronische Daten] [Bergoin Maurice, Gennari Jean-Marie, Tallet Jean-Michel] Introduction: The surgical strategies to treat idiopathic scoliosis on adolescents and young adults need a basic reliable classification. King's and Lenke's classification are inappropriate because they fail to take shoulders and pelvis into account. Methods: We propose the answer for the following three questions: 1. Why are we challenging King's and Lenke's systems of classification? 2. How many frontal and possibly sagittal curves do we need to be able to develop a strategy which is applicable to almost all cases? 3. How should scoliotic curves be classified? Results: In double thoracic and lumbar (thoracic predominant) scoliosis, the concepts of "pelvis included” and "pelvis excluded” are not simply based on a semantic distinction, but correspond to different physiopathological entities and require different surgical strategies. In double thoracic curves the concepts of "real double thoracic” and "potential double thoracic” curves are keys to obtain post operative shoulder balance. In lumbar scoliosis the concepts of "real lumbar” and "lumbosacral” curves are necessary to compare results of posterior or anterior approach in surgical strategies. The system proposed in this work involves ten basic curves. Conclusion: The surgical strategies used to treat idiopathic scoliosis in adolescents and young adults depend on the school of thought as to whether the anterior or posterior approach is preferable and the extent of the vertebral instrumentation. A consensus system of classification of scoliotic curves is required to compare the results obtained using various methods. This has been done in the improved version of King's system proposed here and should provide an efficient tool for use in comparative studies on surgical methods. Springer-Verlag, 2011 Adolescent and adult idiopathic scoliosis nationallicence Scoliosis classification nationallicence Double thoracic curves nationallicence Lumbar scoliosis nationallicence Lumbosacral scoliosis nationallicence King's and Lenke's classification nationallicence Pelvis included and pelvis excluded concepts nationallicence Spinal balance nationallicence Maurice Bergoin Department of Orthopaedic Surgery, Clinique Axium, Aix-en-Provence, France aut Jean-Marie Gennari Department of Paediatric Orthopaedic Surgery, C.H.U Nord, Marseille, France aut Jean-Michel Tallet Department of Orthopaedic Surgery, Hôpital Saint Joseph, Marseille, France aut European Spine Journal Springer-Verlag 20/10(2011-10-01), 1780-1787 0940-6719 20:10<1780 2011 20 586 https://doi.org/10.1007/s00586-011-1899-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1899-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maurice Bergoin Department of Orthopaedic Surgery, Clinique Axium, Aix-en-Provence, France aut NATIONALLICENCE 700 1- Jean-Marie Gennari Department of Paediatric Orthopaedic Surgery, C.H.U Nord, Marseille, France aut NATIONALLICENCE 700 1- Jean-Michel Tallet Department of Orthopaedic Surgery, Hôpital Saint Joseph, Marseille, France aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/10(2011-10-01), 1780-1787 0940-6719 20:10<1780 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer