{"id":"https://openalex.org/W7220988156","doi":"https://doi.org/10.1111/os.70451","title":"Multidimensional Management of Degenerative Scoliosis: A Comprehensive Narrative Review Integrating Diagnostic Assessment, Surgical Decision\u2010Making, and Patient\u2010Centered Outcomes","display_name":"Multidimensional Management of Degenerative Scoliosis: A Comprehensive Narrative Review Integrating Diagnostic Assessment, Surgical Decision\u2010Making, and Patient\u2010Centered Outcomes","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220988156","doi":"https://doi.org/10.1111/os.70451","pmid":"https://pubmed.ncbi.nlm.nih.gov/42849905","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13649347"},"language":"en","primary_location":{"id":"doi:10.1111/os.70451","doi":"https://doi.org/10.1111/os.70451","is_oa":true,"landing_page_url":"https://doi.org/10.1111/os.70451","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.70451","source":{"id":"https://openalex.org/S141658146","display_name":"Orthopaedic Surgery","issn_l":"1757-7853","issn":["1757-7853","1757-7861"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","medline","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Surgery","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.70451","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102896717","display_name":"Yaobin Wang","orcid":"https://orcid.org/0009-0001-3311-830X","observed_orcids":["https://orcid.org/0009-0001-3311-830X"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yaobin Wang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":"https://orcid.org/0009-0001-3311-830X","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101656698","display_name":"Xingyu Zhao","orcid":"https://orcid.org/0009-0004-2012-3486","observed_orcids":["https://orcid.org/0009-0004-2012-3486","https://orcid.org/0009-0007-5688-3489"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xingyu Zhao","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100647319","display_name":"Kai Wang","orcid":"https://orcid.org/0000-0002-3691-1485","observed_orcids":["https://orcid.org/0000-0002-3691-1485"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kai Wang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058034979","display_name":"Zhenlei Liu","orcid":"https://orcid.org/0000-0003-0827-4420","observed_orcids":["https://orcid.org/0000-0003-0827-4420"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhenlei Liu","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":"https://orcid.org/0000-0003-0827-4420","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100425653","display_name":"Li Zhang","orcid":"https://orcid.org/0000-0001-8142-403X","observed_orcids":["https://orcid.org/0000-0001-8142-403X","https://orcid.org/0000-0002-3252-0751","https://orcid.org/0000-0002-9713-1458","https://orcid.org/0000-0002-1508-9066","https://orcid.org/0000-0002-5745-8317","https://orcid.org/0000-0003-3169-6314","https://orcid.org/0000-0003-4648-4437","https://orcid.org/0009-0000-1986-2178","https://orcid.org/0009-0002-1376-2605","https://orcid.org/0009-0009-5714-7744","https://orcid.org/0000-0001-5559-6292","https://orcid.org/0000-0001-7242-5292","https://orcid.org/0000-0001-7374-456X","https://orcid.org/0000-0001-8733-9741","https://orcid.org/0000-0001-9004-9390","https://orcid.org/0000-0001-9007-5281","https://orcid.org/0000-0001-9829-2918","https://orcid.org/0000-0002-0423-5494","https://orcid.org/0000-0002-1163-9382","https://orcid.org/0000-0002-1532-680X","https://orcid.org/0000-0002-1695-7363","https://orcid.org/0000-0002-2559-2036","https://orcid.org/0000-0002-2593-2571","https://orcid.org/0000-0002-3446-3172","https://orcid.org/0000-0002-3919-3247","https://orcid.org/0000-0002-5269-9728","https://orcid.org/0000-0002-6753-9022","https://orcid.org/0000-0002-7419-9628","https://orcid.org/0000-0002-7492-6047","https://orcid.org/0000-0002-7973-735X","https://orcid.org/0000-0002-8343-2719","https://orcid.org/0000-0003-0282-2094","https://orcid.org/0000-0003-1014-7543","https://orcid.org/0000-0003-1125-1991","https://orcid.org/0000-0003-1555-1086","https://orcid.org/0000-0003-2543-1547","https://orcid.org/0000-0003-3011-3834","https://orcid.org/0009-0000-2681-3171","https://orcid.org/0009-0000-4618-6208","https://orcid.org/0009-0000-7650-6727","https://orcid.org/0009-0001-4967-7982","https://orcid.org/0009-0002-2747-8402","https://orcid.org/0009-0002-2813-9170","https://orcid.org/0009-0002-3457-6756","https://orcid.org/0009-0002-5028-2328","https://orcid.org/0009-0002-6762-6262","https://orcid.org/0009-0003-0274-9859","https://orcid.org/0009-0003-5079-2958","https://orcid.org/0009-0003-9086-0492","https://orcid.org/0009-0004-0272-0236","https://orcid.org/0009-0004-0358-7211","https://orcid.org/0009-0004-2502-3417","https://orcid.org/0009-0004-9891-697X","https://orcid.org/0009-0005-0024-2127","https://orcid.org/0009-0005-0508-3444","https://orcid.org/0009-0005-4894-2552","https://orcid.org/0009-0005-6305-0712","https://orcid.org/0009-0006-1135-1123","https://orcid.org/0009-0006-4323-3164","https://orcid.org/0009-0006-6008-8157","https://orcid.org/0009-0007-2573-3541","https://orcid.org/0009-0007-3894-775X","https://orcid.org/0009-0007-5661-246X","https://orcid.org/0009-0008-5024-4747","https://orcid.org/0009-0008-6978-8234","https://orcid.org/0009-0009-4236-5693","https://orcid.org/0009-0009-6073-2303","https://orcid.org/0000-0002-8565-6513"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lei Zhang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":"https://orcid.org/0000-0001-8142-403X","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086172751","display_name":"Shanhang Jia","orcid":"https://orcid.org/0000-0003-1397-1773","observed_orcids":["https://orcid.org/0000-0003-1397-1773"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shanhang Jia","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":"https://orcid.org/0000-0003-1397-1773","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100351640","display_name":"He Wang","orcid":"https://orcid.org/0000-0001-6937-0665","observed_orcids":["https://orcid.org/0000-0001-6937-0665"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"He Wang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100608974","display_name":"Weikang Zhang","orcid":"https://orcid.org/0000-0003-3911-5019","observed_orcids":["https://orcid.org/0000-0003-3911-5019"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weikang Zhang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138080005","display_name":"Yuhua Yang","orcid":"https://orcid.org/0009-0002-5325-1383","observed_orcids":["https://orcid.org/0009-0002-5325-1383"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuhua Yang","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100540419","display_name":"Xu Tong","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tong Xu","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5115600312","display_name":"Hao Wu","orcid":"https://orcid.org/0000-0002-3843-3253","observed_orcids":["https://orcid.org/0000-0002-3843-3253"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210094218","display_name":"Xuan Wu Hospital of the Capital Medical University","ror":"https://ror.org/00k7r7f88","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210094218"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Hao Wu","raw_affiliation_strings":["Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China"],"raw_orcid":"https://orcid.org/0000-0002-3843-3253","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery Xuanwu Hospital, Capital Medical University  Beijing China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"]},{"raw_affiliation_string":"Spine Center, China International Neuroscience Institute (China\u2010INI)  Beijing China","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5115600312"],"corresponding_institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210094218"],"apc_list":{"value":2500,"currency":"USD","value_usd":2500},"apc_paid":{"value":2500,"currency":"USD","value_usd":2500},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.61778563,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"11","first_page":"2320","last_page":"2337"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/degenerative-scoliosis","display_name":"degenerative scoliosis","score":1.0},{"id":"https://openalex.org/keywords/spinal-deformity","display_name":"spinal deformity","score":0.8109999895095825},{"id":"https://openalex.org/keywords/diagnostic-assessment","display_name":"diagnostic assessment","score":0.5559999942779541},{"id":"https://openalex.org/keywords/surgical-decision-making","display_name":"surgical decision-making","score":0.7440000176429749},{"id":"https://openalex.org/keywords/patient-centered-outcomes","display_name":"patient-centered outcomes","score":0.9070000052452087},{"id":"https://openalex.org/keywords/sagittal-imbalance","display_name":"sagittal imbalance","score":0.6990000009536743},{"id":"https://openalex.org/keywords/spinopelvic-alignment","display_name":"spinopelvic alignment","score":0.9779999852180481},{"id":"https://openalex.org/keywords/cobb-angle","display_name":"Cobb angle","score":0.5860000252723694},{"id":"https://openalex.org/keywords/intervertebral-disc-degeneration","display_name":"intervertebral disc degeneration","score":0.7110000252723694},{"id":"https://openalex.org/keywords/facet-joint-degeneration","display_name":"facet joint degeneration","score":0.9039999842643738},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.703000009059906},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.777999997138977},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.7770000100135803},{"id":"https://openalex.org/keywords/minimally-invasive-spine-surgery","display_name":"minimally invasive spine surgery","score":0.8169999718666077},{"id":"https://openalex.org/keywords/spinal-reconstruction","display_name":"spinal reconstruction","score":0.8980000019073486},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.5709999799728394}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7811999917030334},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.7652000188827515},{"id":"https://openalex.org/C2779982284","wikidata":"https://www.wikidata.org/wiki/Q1182746","display_name":"Deformity","level":2,"score":0.5874999761581421},{"id":"https://openalex.org/C2780955175","wikidata":"https://www.wikidata.org/wiki/Q174857","display_name":"Scoliosis","level":2,"score":0.5242999792098999},{"id":"https://openalex.org/C13483470","wikidata":"https://www.wikidata.org/wiki/Q1470152","display_name":"Coronal plane","level":2,"score":0.476500004529953},{"id":"https://openalex.org/C178910020","wikidata":"https://www.wikidata.org/wiki/Q2211994","display_name":"Sagittal plane","level":2,"score":0.4503999948501587},{"id":"https://openalex.org/C43122875","wikidata":"https://www.wikidata.org/wiki/Q5428522","display_name":"Facet (psychology)","level":4,"score":0.4178999960422516},{"id":"https://openalex.org/C140608501","wikidata":"https://www.wikidata.org/wiki/Q7318358","display_name":"Review article","level":2,"score":0.3978999853134155},{"id":"https://openalex.org/C2992931878","wikidata":"https://www.wikidata.org/wiki/Q7577457","display_name":"Spinal deformity","level":3,"score":0.3752000033855438},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.36719998717308044},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.35989999771118164},{"id":"https://openalex.org/C2778871979","wikidata":"https://www.wikidata.org/wiki/Q1104591","display_name":"Cobb angle","level":3,"score":0.35179999470710754},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.34860000014305115},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.3440000116825104},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.33959999680519104},{"id":"https://openalex.org/C2775871850","wikidata":"https://www.wikidata.org/wiki/Q1704251","display_name":"Facet joint","level":3,"score":0.319599986076355},{"id":"https://openalex.org/C2780598303","wikidata":"https://www.wikidata.org/wiki/Q65921492","display_name":"Flexibility (engineering)","level":2,"score":0.30979999899864197},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.3066999912261963},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2994000017642975},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2989000082015991},{"id":"https://openalex.org/C2779370443","wikidata":"https://www.wikidata.org/wiki/Q1776627","display_name":"Surgical planning","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C201645570","wikidata":"https://www.wikidata.org/wiki/Q830637","display_name":"Radiation treatment planning","level":3,"score":0.2816999852657318},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.28139999508857727},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.2775999903678894},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2727000117301941},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.27219998836517334},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2720000147819519},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2696000039577484},{"id":"https://openalex.org/C2779418094","wikidata":"https://www.wikidata.org/wiki/Q478389","display_name":"Kyphosis","level":3,"score":0.25920000672340393}],"mesh":[{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012600","descriptor_name":"Scoliosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D012600","descriptor_name":"Scoliosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012600","descriptor_name":"Scoliosis","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1111/os.70451","doi":"https://doi.org/10.1111/os.70451","is_oa":true,"landing_page_url":"https://doi.org/10.1111/os.70451","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.70451","source":{"id":"https://openalex.org/S141658146","display_name":"Orthopaedic Surgery","issn_l":"1757-7853","issn":["1757-7853","1757-7861"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","medline","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13649347","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13649347/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13649347/pdf/OS-9999-0.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthop Surg","raw_type":"Text"},{"id":"pmid:42849905","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42849905","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2944c6a910bb4f27ac542b43bc7fa51a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/2944c6a910bb4f27ac542b43bc7fa51a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Orthopaedic Surgery, Vol 18, Iss 11, Pp 2320-2337 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1111/os.70451","doi":"https://doi.org/10.1111/os.70451","is_oa":true,"landing_page_url":"https://doi.org/10.1111/os.70451","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.70451","source":{"id":"https://openalex.org/S141658146","display_name":"Orthopaedic Surgery","issn_l":"1757-7853","issn":["1757-7853","1757-7861"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","medline","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G6586553265","display_name":null,"funder_award_id":"2023YFC2507703","funder_id":"https://openalex.org/F4320335777","funder_display_name":"National Key Research and Development Program of China"}],"funders":[{"id":"https://openalex.org/F4320335777","display_name":"National Key Research and Development Program of China","ror":null}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220988156.pdf","grobid_xml":"https://content.openalex.org/works/W7220988156.grobid-xml"},"referenced_works_count":77,"referenced_works":["https://openalex.org/W1521615277","https://openalex.org/W1944597512","https://openalex.org/W1970825264","https://openalex.org/W1975774560","https://openalex.org/W1977734596","https://openalex.org/W1983314366","https://openalex.org/W1985504822","https://openalex.org/W1989255049","https://openalex.org/W2004768044","https://openalex.org/W2005781832","https://openalex.org/W2010045028","https://openalex.org/W2011717768","https://openalex.org/W2012316197","https://openalex.org/W2013680941","https://openalex.org/W2015681733","https://openalex.org/W2016703415","https://openalex.org/W2026878258","https://openalex.org/W2031873562","https://openalex.org/W2038690260","https://openalex.org/W2038897599","https://openalex.org/W2048919568","https://openalex.org/W2058681539","https://openalex.org/W2058683307","https://openalex.org/W2059875923","https://openalex.org/W2060517062","https://openalex.org/W2068840866","https://openalex.org/W2070059370","https://openalex.org/W2070354308","https://openalex.org/W2078141484","https://openalex.org/W2082148404","https://openalex.org/W2094823369","https://openalex.org/W2116773639","https://openalex.org/W2153780585","https://openalex.org/W2154319978","https://openalex.org/W2211704290","https://openalex.org/W2279479543","https://openalex.org/W2319407120","https://openalex.org/W2333208704","https://openalex.org/W2336080956","https://openalex.org/W2410273649","https://openalex.org/W2530885040","https://openalex.org/W2583698182","https://openalex.org/W2604128655","https://openalex.org/W2610725200","https://openalex.org/W2762215555","https://openalex.org/W2770667881","https://openalex.org/W2781565630","https://openalex.org/W2790012291","https://openalex.org/W2790303610","https://openalex.org/W2810712810","https://openalex.org/W2899222581","https://openalex.org/W2915237871","https://openalex.org/W2943775143","https://openalex.org/W2948259565","https://openalex.org/W2963842022","https://openalex.org/W2981436671","https://openalex.org/W2997671573","https://openalex.org/W3006601267","https://openalex.org/W3157608315","https://openalex.org/W3199787923","https://openalex.org/W3201635252","https://openalex.org/W3212788621","https://openalex.org/W3215245046","https://openalex.org/W4210751239","https://openalex.org/W4224233844","https://openalex.org/W4287306965","https://openalex.org/W4310904683","https://openalex.org/W4313440552","https://openalex.org/W4381513691","https://openalex.org/W4391747528","https://openalex.org/W4394683861","https://openalex.org/W4395668852","https://openalex.org/W4396618634","https://openalex.org/W4402292373","https://openalex.org/W4402955878","https://openalex.org/W4403664656","https://openalex.org/W4404650086"],"related_works":["https://openalex.org/W7167513099","https://openalex.org/W2906274588","https://openalex.org/W4285356078","https://openalex.org/W3207084026","https://openalex.org/W4396990684","https://openalex.org/W4252264870","https://openalex.org/W2505897333","https://openalex.org/W2154319978","https://openalex.org/W2363839180","https://openalex.org/W2008486925"],"abstract_inverted_index":{"Degenerative":[0],"scoliosis":[1],"(DS)":[2],"is":[3,228,273],"a":[4,31,79,137,235],"common":[5],"spinal":[6,47],"deformity":[7,144,186,231],"in":[8,30,109],"aging":[9],"populations":[10],"and":[11,21,45,66,96,116,127,154,165,174,194,223,253,267,282],"an":[12],"important":[13],"contributor":[14],"to":[15,105,131,203,275],"low":[16],"back":[17],"pain,":[18],"neurological":[19,150,192],"symptoms,":[20],"functional":[22,195],"decline.":[23],"Unlike":[24],"adolescent":[25],"idiopathic":[26],"scoliosis,":[27],"DS":[28,110,141,226],"develops":[29],"previously":[32],"non-scoliotic":[33],"spine":[34],"through":[35],"progressive":[36],"asymmetric":[37],"degeneration":[38],"of":[39,74,140],"the":[40],"intervertebral":[41],"disks,":[42],"facet":[43],"joints,":[44],"supporting":[46],"structures.":[48],"Despite":[49],"its":[50],"growing":[51],"clinical":[52,81,132],"burden,":[53],"management":[54,227,260],"remains":[55],"heterogeneous,":[56],"with":[57,197],"decision-making":[58],"often":[59],"fragmented":[60],"across":[61,87,245],"radiographic":[62],"assessment,":[63,89],"treatment":[64,91,114,175,182,249],"planning,":[65,252],"postoperative":[67],"outcome":[68,254],"evaluation.":[69],"Building":[70],"on":[71,185],"previous":[72],"reviews":[73],"DS,":[75],"this":[76],"article":[77],"provides":[78],"structured":[80],"update":[82],"that":[83,142,258],"organizes":[84],"contemporary":[85],"evidence":[86,135,244,266],"diagnostic":[88,246],"individualized":[90,181,248],"selection,":[92,250],"perioperative":[93],"risk":[94,112,156],"optimization,":[95],"patient-centered":[97,117,237],"outcomes.":[98,118,225],"A":[99],"narrative":[100,240],"literature":[101,120,178],"review":[102,241],"was":[103,125],"conducted":[104],"evaluate":[106],"current":[107,243],"concepts":[108],"diagnosis,":[111],"stratification,":[113],"strategies,":[115,281],"Relevant":[119],"from":[121,200,230],"major":[122],"biomedical":[123],"databases":[124],"identified":[126],"qualitatively":[128],"synthesized":[129],"according":[130],"relevance.":[133],"Current":[134],"supports":[136,180],"comprehensive":[138],"assessment":[139,255],"integrates":[143],"morphology,":[145],"spinopelvic":[146],"alignment,":[147],"segmental":[148],"degeneration,":[149],"status,":[151,193],"bone":[152],"quality,":[153],"patient-specific":[155,269],"factors.":[157],"Beyond":[158],"coronal":[159],"Cobb":[160],"angle":[161],"measurement,":[162],"advanced":[163],"imaging":[164],"alignment":[166,216,280],"parameters":[167],"may":[168,213],"provide":[169],"complementary":[170],"information":[171],"for":[172],"phenotyping":[173],"planning.":[176],"The":[177],"increasingly":[179],"selection":[183],"based":[184],"severity,":[187],"sagittal":[188],"imbalance,":[189],"physiological":[190],"reserve,":[191],"goals,":[196],"options":[198],"ranging":[199],"nonoperative":[201],"care":[202],"minimally":[204],"invasive":[205],"or":[206],"more":[207],"extensive":[208],"reconstructive":[209],"procedures.":[210],"Surgical":[211],"planning":[212],"also":[214],"incorporate":[215],"objectives,":[217],"biomechanical":[218],"considerations,":[219],"complication":[220],"risk,":[221],"frailty,":[222],"patient-reported":[224],"evolving":[229],"correction-centered":[232],"strategies":[233,261],"toward":[234],"multidimensional,":[236],"paradigm.":[238],"This":[239],"synthesizes":[242],"evaluation,":[247],"surgical":[251],"while":[256],"recognizing":[257],"many":[259],"remain":[262],"supported":[263],"by":[264],"heterogeneous":[265],"require":[268],"consideration.":[270],"Future":[271],"research":[272],"needed":[274],"refine":[276],"predictive":[277],"models,":[278],"personalized":[279],"emerging":[283],"technology-assisted":[284],"approaches.":[285]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-09T00:00:00"}