Spine
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Multicenter Study Comparative Study
Results of selective thoracic versus nonselective fusion in Lenke type 3 curves.
A retrospective analysis of a prospectively collected multicenter database. ⋯ Despite preoperatively smaller lumbar curves with less apical translation and lumbar prominence, most patients with selective fusions were out of balance postoperatively and had inferior radiographical outcomes as compared with their nonselective comparison cohort with similar patient-reported outcomes. Long-term follow-up is required to determine whether the trade-off of sparing motion segments at the expense of somewhat lessened radiographical outcomes is worthwhile.