2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances

ABSTRACT Classification systems for Adolescent Idiopathic Scoliosis (AIS) play an important role in guiding both surgical planning and conservative treatments. Traditional 2D classification systems, such as the Lenke, King and Lehnert‐Schroth classifications, have been widely used for the clinical d...

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Main Authors: Wenqing Wei, Liang Cheng, Yating Dong, Tianyuan Zhang, Yaolong Deng, Jiale Gong, Fang Xie, Junlin Yang
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Orthopaedic Surgery
Subjects:
Online Access:https://doi.org/10.1111/os.14362
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author Wenqing Wei
Liang Cheng
Yating Dong
Tianyuan Zhang
Yaolong Deng
Jiale Gong
Fang Xie
Junlin Yang
author_facet Wenqing Wei
Liang Cheng
Yating Dong
Tianyuan Zhang
Yaolong Deng
Jiale Gong
Fang Xie
Junlin Yang
author_sort Wenqing Wei
collection DOAJ
description ABSTRACT Classification systems for Adolescent Idiopathic Scoliosis (AIS) play an important role in guiding both surgical planning and conservative treatments. Traditional 2D classification systems, such as the Lenke, King and Lehnert‐Schroth classifications, have been widely used for the clinical diagnosis and treatment of scoliosis. However, with the growing understanding of the three‐dimensional nature of scoliosis and advancements in 3D reconstruction technologies, 3D classification systems are gaining increasing attention. This paper reviews the current applications, advantages, and limitations of different 2D and 3D classification systems, focusing on their clinical significance in treatment planning. While 3D classification systems offer clear advantages in capturing the complexity of spinal deformities, their clinical implementation faces challenges such as high costs and technical complexity. Additionally, studies show that computer‐assisted technologies, artificial intelligence can significantly improve the accuracy and consistency of classification systems, reducing human errors. The paper also explores the future directions of classification system development, emphasizing the potential of combining 2D and 3D technologies and the impact of these advancements on personalized scoliosis treatment.
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publishDate 2025-04-01
publisher Wiley
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series Orthopaedic Surgery
spelling doaj-art-804e9dcb7566444c9e2b2e3dfafe8b172025-08-20T01:50:59ZengWileyOrthopaedic Surgery1757-78531757-78612025-04-01174999102010.1111/os.143622D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological AdvancesWenqing Wei0Liang Cheng1Yating Dong2Tianyuan Zhang3Yaolong Deng4Jiale Gong5Fang Xie6Junlin Yang7Spine Surgery Center, Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaSchool of Health Science and Engineering University of Shanghai for Science and Technology Shanghai ChinaSchool of Health Science and Engineering University of Shanghai for Science and Technology Shanghai ChinaSpine Surgery Center, Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaSpine Surgery Center, Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaSchool of Health Science and Engineering University of Shanghai for Science and Technology Shanghai ChinaShanghai Marine Diesel Engine Research Institute Shanghai ChinaSpine Surgery Center, Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaABSTRACT Classification systems for Adolescent Idiopathic Scoliosis (AIS) play an important role in guiding both surgical planning and conservative treatments. Traditional 2D classification systems, such as the Lenke, King and Lehnert‐Schroth classifications, have been widely used for the clinical diagnosis and treatment of scoliosis. However, with the growing understanding of the three‐dimensional nature of scoliosis and advancements in 3D reconstruction technologies, 3D classification systems are gaining increasing attention. This paper reviews the current applications, advantages, and limitations of different 2D and 3D classification systems, focusing on their clinical significance in treatment planning. While 3D classification systems offer clear advantages in capturing the complexity of spinal deformities, their clinical implementation faces challenges such as high costs and technical complexity. Additionally, studies show that computer‐assisted technologies, artificial intelligence can significantly improve the accuracy and consistency of classification systems, reducing human errors. The paper also explores the future directions of classification system development, emphasizing the potential of combining 2D and 3D technologies and the impact of these advancements on personalized scoliosis treatment.https://doi.org/10.1111/os.143623D classificationadolescent idiopathic scoliosisKing classificationLenke classificationPUMC classificationRigo classification
spellingShingle Wenqing Wei
Liang Cheng
Yating Dong
Tianyuan Zhang
Yaolong Deng
Jiale Gong
Fang Xie
Junlin Yang
2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
Orthopaedic Surgery
3D classification
adolescent idiopathic scoliosis
King classification
Lenke classification
PUMC classification
Rigo classification
title 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
title_full 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
title_fullStr 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
title_full_unstemmed 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
title_short 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances
title_sort 2d and 3d classification systems for adolescent idiopathic scoliosis clinical implications and technological advances
topic 3D classification
adolescent idiopathic scoliosis
King classification
Lenke classification
PUMC classification
Rigo classification
url https://doi.org/10.1111/os.14362
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