Anterior-Posterior Combined Correction and Fusion (Severe/Rigid)

Combined anterior and posterior approaches can be considered when the deformity is rigid or severe, requires a significant increase in flexibility and anterior column support, or when the desired correction and balance cannot be achieved with a posterior approach alone. Whether to use it is related to the type of deformity, flexibility assessment, previous treatment/surgery history, neurological and pulmonary function status, bone maturity, and overall health, and is determined by a comprehensive assessment by a specialist team.