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AO Surgery Reference Lenke Classification

The document describes the Lenke classification system for adolescent idiopathic scoliosis (AIS). It defines 6 main curve types based on the location and structural significance of curves in the proximal thoracic, main thoracic, and thoracolumbar/lumbar regions. Additional modifiers are used to indicate the location of the lumbar apex and degree of thoracic kyphosis. Together, the curve type, lumbar modifier, and thoracic modifier comprise a patient's full Lenke classification.

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Federico Nelson Freis
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164 views

AO Surgery Reference Lenke Classification

The document describes the Lenke classification system for adolescent idiopathic scoliosis (AIS). It defines 6 main curve types based on the location and structural significance of curves in the proximal thoracic, main thoracic, and thoracolumbar/lumbar regions. Additional modifiers are used to indicate the location of the lumbar apex and degree of thoracic kyphosis. Together, the curve type, lumbar modifier, and thoracic modifier comprise a patient's full Lenke classification.

Uploaded by

Federico Nelson Freis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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The Lenke classification system for AIS

Curve type Proximal Thoracic Main Thoracic Thoracolumbar/Lumbar Description


1 Nonstructural Structural* Nonstructural Main Thoracic
2 Structural× Structural* Nonstructural Double Thoracic
3 Nonstructural Structural* Structural× Double Major
4 Structural× Structural§ Structural§ Triple Major
5 Nonstructural Nonstructural Structural* Thoracolumbar/Lumbar (TL/L)
6 Nonstructural Structural× Structural* Thoracolumbar/Lumbar-Main Thoracic
(TL/L-MT)
*Major curve: largest Cobb measurement, always structural; ×Minor curve: remaining structural curves; § Type4 — MT or TL/L can be
the major curve

Structural Criteria (Minor curves) Location of Apex (SRS Definition)


Proximal Thoracic • Side Bending Cobb ≥25° Curve Apex
• T2-T5 Kyphosis ≥+20° Thoracic T2 to T11-12 Disc
Main Thoracic • Side Bending Cobb ≥25° Thoracolumbar T12-L1
• T10-L2 Kyphosis ≥+20°
Lumbar L1-2 Disc to L4
Thoracolumbar/Lumbar • Side Bending Cobb ≥25°
• T10-L2 Kyphosis ≥+20°

Modifiers
Lumbar Spine Center Sacral Vertical Thoracic Sagittal Profile T5-T12
Modifier Line to Lumbar Apex Modifier Cobb Angle
A B C
A Between pedicles - (Hypo) < 10°
B Touches apical body(ies) N (Normal) 10° — 40°
C Completely medial + (Hyper) > 40°

Curve Type (1–6) + Lumbar Spine Modifier (A, B, C) + Thoracic Sagittal Modifier (–, N, +) = Curve Classification (e.g. 1B+):

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