Controversies in Spine -: Anterior versus posterior instrumentation for the correction of thoracic idiopathic scoliosis

Traditionally, thoracic idiopathic scoliosis has been treated by posterior instrumentation and fusion, which is still the gold standard. However, anterior instrumentation and fusion became a viable option for these patients during the 1990s and are gaining acceptance. Currently, controversy still exists regarding the indications for the anterior approach, and the benefits of the anterior versus posterior approach remain unsettled. Therefore, this topic was considered ideal for noted experts on both sides to present their opinions, with Dr. Harry Shufflebarger promoting posterior instrumentation and Dr. Randy Belt encouraging anterior instrumentation. The efforts of these two outstanding and dedicated scoliosis specialists to educate the readers of Spine regarding their viewpoints are appreciated.