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To identify the characteristics and the incidence of adding-on (AO) in atypical Lenke 1A adolescent idiopathic scoliosis patients, and to investigate whether atypical and typical Lenke 1A curve should follow the same lowest instrumented vertebra (LIV) selection strategy. A total of 251 Lenke 1A patients who underwent posterior spinal fusion were analyzed. The minimum follow-up was 2years. Curves were classified into two groups according to the apex. At last, 42 atypical Lenke 1A patients (apex at T10/11-T11/12) were identified and divid
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