Navigating Thoracolumbar Curve Treatment in Midlife: a Critical Decision Point

• S. Haddad,
• S. Núñez-Pereira,
• J. Pizones,
• A. Pupak,
• L. Vila,
• M. Ramirez,
• A. Gomez-Rice,
• Y.P. Charles,
• A. Alanay,
• M. Barcheni,
• I. Obeid,
• F. Kleinstück,
• F. Sanchez Perez-Grueso,
• F. Pellise,
• E.S.S.G. Essg

Affiliations

S. Haddad

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

S. Núñez-Pereira

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

J. Pizones

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

A. Pupak

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

L. Vila

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

M. Ramirez

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

A. Gomez-Rice

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

Y.P. Charles

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

A. Alanay

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

M. Barcheni

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

I. Obeid

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

F. Kleinstück

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

F. Sanchez Perez-Grueso

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

F. Pellise

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain

E.S.S.G. Essg

Spine Research Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, La Paz University Hospital, Madrid, Spain; Spine Research Unit, Vall d'Hebron Institut de Recerca - Edifici Collserola, Barcelona, Spain; Traumatology and Orthopaedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain; Orthopaedic department. Spine Unit, Valle Hebron HOSPITAL, BARCELONA, Spain; Spine Unit - Orthopedic Surgery Department, Ramón y Cajal Hospital, Madrid, Spain; Dept. of Spine Surgery, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; Spine Unit Orthopaedic Department, Acibadem Mehmet Ali Aydinlar University, İstanbul, Türkiye; Spine Unit, Vall d'Hebron University Hospital, Barcelona, Spain; Spine Unit Orthopaedic Department, Hôpital Pellegrin Bordeaux, Bordeaux, France; Department of Spine Surgery, Schulthess Klinik, Zürich, Switzerland; Orthopaedic Surgery. Spine Section, La Paz University Hospital, Madrid, Spain; Spine Unit Orthopaedic Department, Vall d'Hebron University Hospital, Barcelona, Spain