Anterior release & posterior spinal fusion vs. posterior-only fusion in AIS patients with large magnitude thoracic curves

ARPF offers a corrective advantage for patients with stiffer curves and lower skeletal maturity, who are at risk of developing crankshaft phenomena. However, the increased operative morbidity supports PF alone as sufficient for most patients. These results highlight the importance of tailoring surgical strategy to curve characteristics and skeletal maturity to optimise correction and minimise risk.