Anterior Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: Early Results and Future Directions

Courtney E Baker; Todd A Milbrandt; A Noelle Larson

doi:10.1016/j.ocl.2021.01.003

Anterior Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: Early Results and Future Directions

Orthop Clin North Am. 2021 Apr;52(2):137-147. doi: 10.1016/j.ocl.2021.01.003.

Authors

Courtney E Baker¹, Todd A Milbrandt¹, A Noelle Larson²

Affiliations

¹ Department of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
² Department of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: larson.noelle@mayo.edu.

PMID: 33752835
DOI: 10.1016/j.ocl.2021.01.003

Abstract

Anterior vertebral body tether (AVBT) is a nonfusion surgical procedure for correction of scoliosis in skeletally immature individuals. With US Food and Drug Administration approval in 2019, AVBT technology is spreading and early to midterm reports are being published. Early clinical reports are promising while precise indications, outcomes, complication profiles, and best practices are being established. Patients who are skeletally immature and wish to avoid a fusion surgery may benefit from this procedure. This article highlights the translational science foundation, early to midterm clinical reports, and future directions for this growing technique in pediatric spinal deformity surgery.

Keywords: Adolescent; Curve correction; Flexible cord; Nonfusion procedure; Scoliosis; Tethering.

Publication types

Review

MeSH terms

Adolescent
Bone Screws*
Humans
Scoliosis / surgery*
Treatment Outcome
United States
Vertebral Body / surgery*