Anterior vertebral body tethering as a treatment for scoliosis in skeletally immature patients
| Autor: | Valentina Caretti, Antonio Andreacchio, Luca Colombo |
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| Jazyk: | English<br />Italian |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | La Pediatria Medica e Chirurgica, Vol 44, Iss s1 (2022) |
| Druh dokumentu: | article |
| ISSN: | 0391-5387 2420-7748 |
| DOI: | 10.4081/pmc.2022.291 |
| Popis: | A relatively new surgical procedure called Anterior Vertebral Body Tethering (AVBT) is used to treat scoliosis in patients with immature skeletons. It is a growth modulation fusionless system that Crowford and Lenke first described in 2010. We present our observations from 25 patients. Improvement in the mean coronal Cobb angle, from mean 57° preoperative to mean 34° postoperative, was 40%. Additionally, we noted that the mean thoracic hypokyphosis improved from 16° to 24° on average after surgery. Complication rates were 16% and surgical revision rates were 12%. All patients who demonstrated improvement in pain, function, and self-image underwent administration of the SRS-24 questionnaire. These data, according to the literature, show that AVBT is a reliable technique that enables scoliosis correction in skeletally immature patients and maintains that correction while utilizing remaining growth potential to achieve further correction, avoiding spinal fusion, and maintaining spine mobility. |
| Databáze: | Directory of Open Access Journals |
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