Anterior vertebral body tethering as a treatment for scoliosis in skeletally immature patients.

Q3 Medicine Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI:10.4081/pmc.2022.291
Valentina Caretti, Antonio Andreacchio, Luca Colombo
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Abstract

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.

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前椎体栓系术治疗骨未成熟患者脊柱侧凸。
一种相对较新的外科手术称为前椎体系扎术(AVBT),用于治疗骨骼不成熟患者的脊柱侧凸。这是Crowford和Lenke在2010年首次描述的一种生长调制无融合系统。我们对25名患者进行了观察。平均冠状Cobb角从术前的平均57°改善到术后的平均34°,改善幅度为40%。此外,我们注意到手术后平均胸后凸度从16°改善到24°。并发症发生率为16%,手术翻修率为12%。所有表现出疼痛、功能和自我形象改善的患者都进行了SRS-24问卷调查。根据文献,这些数据表明,AVBT是一种可靠的技术,可以对骨骼不成熟的患者进行脊柱侧凸矫正,并在利用剩余生长潜力实现进一步矫正的同时保持这种矫正,避免脊柱融合,并保持脊柱的活动性。
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来源期刊
Pediatria Medica e Chirurgica
Pediatria Medica e Chirurgica Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.70
自引率
0.00%
发文量
21
审稿时长
10 weeks
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