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These slides may be recovered under Electronic Supplementary Material.PURPOSE To investigate perhaps the rotation of preoperative-presumed lowest instrumented vertebra (LIV) is a risk factor for adding-on (AO) in adolescent idiopathic scoliosis (AIS) treated with selective posterior thoracic fusion (sPTF). METHODS A total of 196 AIS clients of Lenke kind 1A or 2A with minimal 2-year follow-up after sPTF with all pedicle screw instrumen