Anterior Vertebral Body Tethering: A Review of the Available Evidence. [Review] 

 -  2024 
<br/><br/>Available online from MWHC library: Oct 1993 - present, Available in print through MWHC library: 1999 - present 
<br/><br/> Idiopathic scoliosis is a complex three-dimensional deformity of the spine with anterior overgrowth (hypokyphosis), coronal curvature, and axial rotation. Scoliosis treatment in the skeletally immature spine is therapeutically challenging because of growth and was commonly limited to observation, bracing treatment, or fusion. Fusion accomplishes powerful deformity correction at the expense of future growth and mobility of the involved segments, increasing the risk of adjacent segment degeneration and intervertebral disk disease later in life. Anterior vertebral body tethering is a motion-preserving technique that exploits the Hueter-Volkmann principle by applying compression at the anterior and convex aspects of the curve to stimulate differential vertebral growth for gradual deformity reduction without fusion. The appropriate timing, curve magnitude, tensioning, growth prediction, indications, and limitations of tethering are being refined as this technique becomes more prevalent. Early outcome studies show that growth modulation with vertebral body tethering is safe, can achieve good results, and preserve motion in select patients. Copyright © 2024 by the American Academy of Orthopaedic Surgeons. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1067-151X 
<br/><br/><label>Standard No.: </label>00124635-990000000-00885 [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Orthopedic Procedures<br/>*Scoliosis<br/>*Spinal Fusion<br/>Humans<br/>Neurosurgical Procedures<br/>Orthopedic Procedures/mt [Methods]<br/>Scoliosis/su [Surgery]<br/>Spinal Fusion/mt [Methods]<br/>Spine/su [Surgery]<br/>Thoracic Vertebrae/su [Surgery]<br/>Treatment Outcome<br/>Vertebral Body--Automated
<br/><br/><label>Index Terms--Occupation: </label><br/>MedStar Georgetown University Hospital/MedStar Washington Hospital Center<br/>Orthopaedic Surgery Residency
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article<br/>Review