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Z Orthop Unfall 2020; 158(06): 641-646
DOI: 10.1055/a-0983-1265
Review/Übersicht

Dynamic Scoliosis Correction as Alternative Treatment for Patients with Adolescent Idiopathic Scoliosis: a Non-Fusion Surgical Technique

Article in several languages: English | deutsch
Per David Trobisch
1   Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath
,
Philipp Kobbe
2   Department of Trauma Surgery, University Hospital RWTH Aachen
,
Alice Baroncini
1   Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath
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Abstract

Anterior dynamic scoliosis correction is an innovative non-fusion option in the treatment of patients with severe adolescent scoliosis. Growth modulation and sometimes intraoperative curve correction is achieved by convex insertion of segmental screws and a flexible polyethylene cord. The present review analyses and discusses the current literature and proposes a new treatment algorithm that is based on our own experience. Short term results are published for approximately 100 patients from different institutions. Fusion could be prevented in the vast majority of patients. Perioperative complication rate is very low but a few cases of cord rupture and overcorrection are reported. Anterior dynamic scoliosis correction has promising short term results but there is a paucity of literature and optimal criteria for the best candidate has yet to be defined.

Key words

scoliosis - VBT - dynamic scoliosis correction - tether


Publication History

Article published online:
18 September 2019

© 2019. Thieme. All rights reserved.

Georg Thieme Verlag KG
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  • References/Literatur

  • 1 Lonner B, Diab M, Polly D. et al. Member submission: vertebral body tethering for scoliosis. Scoliosis Research Society, Newsletter June 2018. Im Internet (Stand: 22.08.2019): https://www.srs.org/newsletter/issues/june-2018/member-submission-vertebral-body-tethering-for-scoliosis/full-article
  • 2 Trobisch P, Suess O, Schwab F. Idiopathic Scoliosis. Dtsch Arztebl Int 2010; 107: 875-883
    CrossrefPubMedSearch in Google Scholar
  • 3 Dwyer AF, Schafer MF. Anterior approach to scoliosis. Results of treatment in fifty-one cases. J Bone Joint Br 1974; 56: 218-224
    CrossrefPubMedSearch in Google Scholar
  • 4 Peterlein CD, Schofer MD, Gutermann LC. et al. [Parental enquiries before frequenting the outpatient paediatric orthopaedic consultation – focus Internet]. Z Orthop Unfall 2009; 147: 721-726
    Thieme ConnectPubMedSearch in Google Scholar
  • 5 Trobisch PD, Bharucha N. [The internet: an orthopedistʼs boon or bane?]. Z Orthop Unfall 2011; 149: 225-228
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Newton PO, Farnsworth CL, Faro FD. et al. Spinal growth modulation with an anterolateral flexible tether in an immature bovine model. Spine (Phila Pa 1976) 2008; 33: 724-733
    CrossrefPubMedSearch in Google Scholar
  • 7 Newton PO, Farnsworth CL, Upasani VV. et al. Effects of intraoperative tensioning of an anterolateral spinal tether on spinal growth modulation in a porcine model. Spine (Phila Pa 1976) 2011; 36: 109-117
    CrossrefPubMedSearch in Google Scholar
  • 8 Jain V, Lykissas M, Trobisch P. et al. Surgical aspects of spinal growth modulation in scoliosis correction. Instr Course Lect 2014; 63: 335-344
    PubMedSearch in Google Scholar
  • 9 Trobisch PD, Samdani A, Cahill P. et al. Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis. Oper Orthop Traumatol 2011; 23: 227-231
    CrossrefPubMedSearch in Google Scholar
  • 10 Betz RR, Ranada A, Samdani AF. et al. Vertebral body stapling: a fusionless treatment option for a growing child with moderate idiopathic scoliosis. Spine (Phila Pa 1976) 2010; 35: 169-176
    CrossrefPubMedSearch in Google Scholar
  • 11 Crawford 3rd CH, Lenke LG. Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report. J Bone Joint Surg Am 2010; 92: 202-209
    CrossrefPubMedSearch in Google Scholar
  • 12 Samdani AF, Ames RJ, Kimball JS. et al. Anterior vertebral body tethering for idiopathic scoliosis. Spine (Phila Pa 1976) 2014; 39: 1688-1693
    CrossrefPubMedSearch in Google Scholar
  • 13 Samdani AF, Ames RJ, Kimball JS. et al. Anterior vertebral body tethering for immature adolescent scoliosis: one-year results on the first 32 patients. Eur Spine J 2015; 24: 1533-1539
    CrossrefPubMedSearch in Google Scholar
  • 14 Newton PO, Kluck DG, Saito W. et al. Anterior spinal growth tethering for skeletally immature patients with scoliosis. J Bone Joint Surg Am 2018; 100: 1691-1697
    CrossrefPubMedSearch in Google Scholar
  • 15 Yilgor C, Cebeci B, Abul K. et al. Non-fusion thoracoscopic anterior vertebral body tethering for adolescent idiopathic scoliosis: preliminary results of a single European center. Scoliosis Research Society 53rd Annual Meeting, 2018, Bologna, Italy. Im Internet (Stand: 22.08.2019): https://www.srs.org/UserFiles/file/am18-final-4web-v2.pdf
  • 16 Miyanji F, Pawelek J, Nastro L. et al. A prospective, multicenter analysis of the efficacy of anterior vertebral body tethering (AVBT) in the treatment of idiopathic scoliosis. Scoliosis Research Society 53rd Annual Meeting, 2018, Bologna, Italy. Im Internet (Stand: 22.08.2019): https://www.srs.org/UserFiles/file/am18-final-4web-v2.pdf
  • 17 Turcot O, Roy-Beaudry M, Turgeon I. et al. Tridemensional changes following anterior vertebral growth modulation after two years of follow-up. Scoliosis Research Society 53rd Annual Meeting, 2018, Bologna, Italy. Im Internet (Stand: 22.08.2019): https://www.srs.org/UserFiles/file/am18-final-4web-v2.pdf
  • 18 Trobisch PD, Ducoffe AR, Lonner BS. et al. Choosing fusion levels in adolescent idiopathic scoliosis. J Am Acad Orthop Surg 2013; 21: 519-528
    CrossrefPubMedSearch in Google Scholar
  • 19 Nohara A, Kawakami N, Seki K. The effects of spinal fusion on lumbar disc degeneration in patients with adolescent idiopathic scoliosis: a minimum 10-year follow-up. Spine Deform 2015; 3: 462-468
    CrossrefPubMedSearch in Google Scholar
  • 20 Lonner BS, Ren Y, Upasani VV. et al. Disc degeneration in unfused caudal motion segments ten years following surgery for adolescent idiopathic scoliosis. Spine Deform 2018; 6: 684-690
    CrossrefPubMedSearch in Google Scholar
  • 21 Dehnokhalaji M, Golbakhsh MR, Siavashi B. et al. Evaluation of the degenerative changes of the distal intervertebral discs after internal fixation surgery in adolescent idiopathic scoliosis. Asian Spine J 2018; 12: 1060-1068
    CrossrefPubMedSearch in Google Scholar