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Sixteen eligible studies were included. The angles of scoliosis curves and kyphosis curves were significantly and similarly corrected after surgery in both APSF and PSF group, respectively. At the last follow-up, the loss of correction was significant in the coronal plane but not in the sagittal plane with a similar progression of scoliosis in 2 groups. The overall complication rate was slightly higher in the APSF group, but the difference was not statistically significant. Meanwhile, there was no visible difference in the incidence of p