Anterior Vertebral Body Stapling and Tethering

The current standard of care for skeletally immature patients with progressive scoliosis measuring> 25 ° is a thoracolumbosacral orthosis (TLSO). Recent evidence has established the efficacy of bracing in halting curve progression in patients with curves measuring 20–40°. However, issues surrounding psychosocial impact, compliance, and the efficacy of bracing in larger curves remain. In patients with significant growth remaining, anterior growth modulation surgery has been established as a unique and promising alternative.
Source: Operative Techniques in Orthopaedics - Category: Orthopaedics Authors: Source Type: research