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Article
Analysis of three-dimensional spine growth for vertebral body tethering patients at 2 and 5 years post operatively
Scoliosis can be treated with vertebral body tethering (VBT) as a motion-sparing procedure. However, the knowledge of how growth is affected by a tether spanning multiple levels is unclear in the literature. T...
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Article
Coronal decompensation following thoracic vertebral body tethering in idiopathic scoliosis
Post-operative coronal decompensation (CD) continues to be a challenge in the treatment of adolescent idiopathic scoliosis (AIS). CD following selective spinal fusion has been studied. However, there is curren...
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Article
Open AccessGrowth modulation response in vertebral body tethering depends primarily on magnitude of concave vertebral body growth
There is variability in clinical outcomes with vertebral body tethering (VBT) partly due to a limited understanding of the growth modulation (GM) response. We used the largest sample of patients with 3D spine ...
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Article
Delayed hemothorax after anterior vertebral body tethering in adolescent idiopathic scoliosis: a case report
The aim of this case report is to report that delayed hemothorax is possible after anterior vertebral body tethering (aVBT) and to illustrate the course of treatment.
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Article
Differential vertebral body growth is maintained after vertebral body tethering surgery for idiopathic scoliosis: 4-year follow-up on 888 peri-apical vertebrae and 592 intervertebral discs
To radiographically evaluate if vertebral body tethering (VBT) can maintain differential peri-apical vertebral growth at medium-term follow-up of 4 years.
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Article
Does radiographic calibration affect linear radiographic measurements in a large pediatric spine registry?
Large registries are increasingly at the forefront of modern pediatric spine research, with manual, centralized, trained radiographic measurement serving as the gold standard for spine research. However, there...
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Article
Growth friendly surgeries increase 3D true spine length at two-years post-operative
Traditional coronal-plane vertical spine height measurements, such as T1-T12 and T1-S1 spine height, are influenced by 3-dimensional spinal deformity. Therefore, they are unreliable indicators of true spine gr...
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Article
Open AccessConcave and convex growth do not differ over tethered vertebral segments, even with open tri-radiate cartilage
To assess the following hypotheses related to vertebral body tethering (VBT): 1. VBT is associated with asymmetric (concave > convex) increases in height over the instrumented vertebra. 2. The instrumented Cob...
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Article
Thoracolumbar curve behavior after selective thoracic anterior vertebral body tethering in Lenke 1A vs Lenke 1C curve patterns
Retrospective review of a prospective database.
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Article
Low radius of curvature growth-friendly rib-based implants increase the risk of develo** clinically significant proximal junctional kyphosis
Clinically significant proximal junctional kyphosis (PJK) occurs in 20% of children with scoliosis treated with posterior distraction-based growth-friendly surgery. In an effort to identify modifiable risk fac...
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Article
Effects of distraction-based distal fixation on pelvic parameter development in early onset scoliosis
Prior studies have suggested that distraction-based treatment for early onset scoliosis (EOS) may impede the natural development of the sagittal spinal alignment and pelvic parameters. However, to date no stud...
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Article
Reliability of radiographic assessment of growth modulation from anterior vertebral body tethering surgery in pediatric scoliosis
To assess the reliability of vertebral height and angular measurements for anterior vertebral body tethering (AVBT).
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Article
Vertebral body tethering for non-idiopathic scoliosis: initial results from a multicenter retrospective study
Vertebral body tethering (VBT) has been described for patients with idiopathic scoliosis. Results of the technique for non-idiopathic scoliosis have not yet been reported.
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Article
Scoliosis flexibility correlates with post-operative outcomes following growth friendly surgery
The purpose of this study was to determine the relationship between pre-operative scoliosis flexibility and post-operative outcomes, including curve correction and complications, for patients who have been tre...
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Article
To tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis
Vertebral body tethering (VBT) continues to grow in interest from both a patient and surgeon perspective for the treatment of scoliosis. However, the data are limited when it comes to surgeon selection of both...
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Article
Body mass index affects outcomes after vertebral body tethering surgery
To compare the outcomes of anterior Vertebral Body Tethering (AVBT) surgery between overweight and non-overweight patients.
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Chapter
A Journey from the Past to the Future
Although first attempts at treating pediatric spinal deformities date as far back as many years before Christ, the groundbreaking changes that define our contemporary practice of spinal surgery were accomplish...
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Chapter
Radiologic Evaluation in Early-Onset Scoliosis
Appropriate imaging is critical to the treatment of early-onset scoliosis (EOS). Upright (sitting or standing) radiographs are the mainstay for diagnosis, monitoring, and longitudinal assessment of treatment o...
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Chapter
Terminology
As the term early-onset scoliosis (EOS) has become widely used in the medical literature, it is important to obtain consensus on the definition of EOS, as well as the terminology used for the classification an...
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Chapter
Early-Onset Spondylolysis and Spondylolisthesis: Diagnosis, Analysis of the Sagittal Plane, and Treatment Techniques
The development of a pars interarticularis defect is a relatively common disorder occurring in up to 6% of the pediatric population with a small number develo** a subsequent spondylolisthesis. Spondylolisthe...
