Selecting the lowest instrumented vertebra (LIV) in fusion for adolescent idiopathic scoliosis is potentially the most nuanced decision a surgeon has to make. This article reviews the literature on the range-of-motion loss related to the LIV, ability to return to sports based on LIV, correlation between LIV and disk degeneration, and short-term and long-term clinical outcomes related to LIV. Copyright © 2024 by the American Academy of Orthopaedic Surgeons.
Scott Yang, Burt Yaszay, Jennifer Bauer. The Clinical Significance of the Lowest Instrumented Vertebra in Adolescent Idiopathic Scoliosis. The Journal of the American Academy of Orthopaedic Surgeons. 2024 Sep 15;32(18):e889-e898
PMID: 38748903
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