Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report.

@article{Crawford2010GrowthMB,
  title={Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report.},
  author={Charles H. Crawford and Lawrence G. Lenke},
  journal={The Journal of bone and joint surgery. American volume},
  year={2010},
  volume={92 1},
  pages={
          202-9
        }
}
  • C. Crawford, L. Lenke
  • Published 2010
  • Medicine
  • The Journal of bone and joint surgery. American volume
The treatment of juvenile idiopathic scoliosis continues to evolve with the search for ways to positively affect the natural history of deformity progression and disability while minimizing treatment morbidity1. [...] Key Method The patient and …Expand
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This work describes recent preclinical studies and early human clinical use of non-idiopathic early onset scoliosis and techniques that limit growth on the convex curve side, with a primary focus on non-fusion spinal growth modulation.
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A new method of spinal growth tethering using minimal invasive videothoracoscopic approach allowed a stabilization of the deformity during growth spurt in six patients with flexible thoracic curves.
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Despite the patient population being slightly more mature at the time of the surgical procedure compared with previous studies, this study had a higher success rate and a lower revision rate, indicating that VBT may be a reliable treatment option for adolescent scoliosis in skeletally immature individuals.
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Scoliosis is a spinal deformity characterised by lateral curvatures of the spine. It typically occurs during adolescence, but in rare incidences can occur in young children. In adolescents, if severe
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An overview of current techniques on the management of adolescent idiopathic and early onset scoliosis to help provide guidance on the available surgical alternatives to address these conditions.
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The rate of device-related complications is acceptable and outweighed by the significant degree of growth preservation and more flexible and individualised treatment strategy for patients with EOS.
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A brace that applies the appropriate loading and is worn as prescribed may dramatically improve the results of brace treatment and a procedure using external fixation or adjustable anterolateral tethering may achieve a nonfusion correction of AIS.
Thoracoscopic Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: A Minimum of 2 Years’ Results of 21 Patients
TLDR
Anterior VBT as a growth modulating treatment option by allowing the correction of the scoliotic deformity and preserving coronal balance was detected to be a safe and effective option for the surgical treatment of AIS in skeletally immature patients, if applied under strict inclusion criteria.
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New techniques and instrumentation at the disposal of spine surgeons allow the treatment of this challenging patient population to approach the goals of deformity correction and maintenance with preservation of potential growth.
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Current options for surgical management of spinal deformity in the growing child include definitive spinal fusion with or without instrumentation, selective fusion, growth modulation, spinal instrumentation without fusion, or more recently, the use of the vertical expandable prosthetic titanium rib.
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Part-time bracing in JIS is successful and is better than the natural history, and given the longer course of treatment for JIS patients, part-timeBracing offers potential psychosocial and compliance benefits.
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The results of treatment by destroying the growth potential opposite the area of growth inhibition have been encouraging and when the operation has been adequate further deterioration has been prevented.
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