Evidence map›Paper›PMID 34716821›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022

Motion preservation surgery for scoliosis with a vertebral body tethering system: a biomechanical study.

Luis Fernando Nicolini, Philipp Kobbe, Jana Seggewiß, Johannes Greven, Marx Ribeiro, Agnes Beckmann, Stephanie Da Paz, Jörg Eschweiler, Andreas Prescher, Bernd Markert and 3 more

Open access · hybridAbstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Sagittal alignment outcomes following two-row vertebral body tethering versus posterior spinal fusion in adolescent idiopathic scoliosis: a multicenter two-year study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Effects of Vertebral Body Tethering on the Intervertebral Discs and Facet Joints: A Numerical Analysis.International journal for numerical methods in biomedical engineering · 2025
    Article
  9. Article
  10. Review
  11. The efficacy of anterior vertebral body tethering in lenke type 6 curves for adolescent idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  12. Radiological Outcomes of Re-tethering for Adolescent Idiopathic Scoliosis: A 2-to-5-year Follow-Up Case Series After Index Vertebral Body Tethering Failure.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  13. Early-term outcome of apical fusion with vertebral body tethering for thoracolumbar curves in adolescent idiopathic scoliosis: a preliminary study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  14. Article
  15. Article
  16. Bilateral vertebral body tethering: identifying key factors associated with successful outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  17. Article
  18. Article
  19. Radiographic outcome after vertebral body tethering of the lumbar spine.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  20. An investigation of range of motion preservation in fusionless anterior double screw and cord constructs for scoliosis correction.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Luis Fernando NicoliniDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany. lfernandonicolini@gmail.com.ORCID http://orcid.org/0000-0003-0332-1750
Philipp KobbeDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany.
Jana SeggewißDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany.
Johannes GrevenDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany.
Marx RibeiroDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany.
Agnes BeckmannInstitute of General Mechanics (IAM), RWTH Aachen University, Eilfschornsteinstr. 18, 52062, Aachen, Germany.
Stephanie Da PazDepartment of Spinal Surgery, Eifelklinik St. Brigida, Kammerbruchstraße 8, 52152, Simmerath, Germany.
Jörg EschweilerDepartment of Orthopaedic Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, 52074, Aachen, Germany.
Andreas PrescherInstitute of Molecular and Cellular Anatomy, RWTH Aachen University Hospital, Pauwelsstr. 30, 52074, Aachen, Germany.
Bernd MarkertInstitute of General Mechanics (IAM), RWTH Aachen University, Eilfschornsteinstr. 18, 52062, Aachen, Germany.
Marcus StoffelInstitute of General Mechanics (IAM), RWTH Aachen University, Eilfschornsteinstr. 18, 52062, Aachen, Germany.
Frank HildebrandDepartment for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany.
Per D TrobischDepartment of Spinal Surgery, Eifelklinik St. Brigida, Kammerbruchstraße 8, 52152, Simmerath, Germany.
RWTH Aachen University · DEUniversidade Federal de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a paucity of studies on new vertebral body tethering (VBT) surgical constructs especially regarding their potentially motion-preserving ability. This study analyses their effects on the ROM of the spine.

methodsHuman spines (T10-L3) were tested under pure moment in four different conditions: (1) native, (2) instrumented with one tether continuously connected in all vertebrae from T10 to L3, (3) additional instrumented with a second tether continuously connected in all vertebrae from T11 to L3, and (4) instrumented with one tether and one titanium rod (hybrid) attached to T12, L1 and L2. The instrumentation was inserted in the left lateral side. The intersegmental ROM was evaluated using a magnetic tracking system, and the medians were analysed. Please check and confirm the author names and initials are correct. Also, kindly confirm the details in the metadata are correct. The mentioned information is correct

resultsCompared to the native spine, the instrumented spine presented a reduction of less than 13% in global ROM considering flexion-extension and axial rotation. For left lateral bending, the median global ROM of the native spine (100%) significantly reduced to 74.6%, 66.4%, and 68.1% after testing one tether, two tethers and the hybrid construction, respectively. In these cases, the L1-L2 ROM was reduced to 68.3%, 58.5%, and 38.3%, respectively. In right lateral bending, the normalized global ROM of the spine with one tether, two tethers and the hybrid construction was 58.9%, 54.0%, and 56.6%, respectively. Considering the same order, the normalized L1-L2 ROM was 64.3%, 49.9%, and 35.3%, respectively.

conclusionThe investigated VBT techniques preserved global ROM of the spine in flexion-extension and axial rotation while reduced the ROM in lateral bending.

Indexed as

ScoliosisBiomechanical PhenomenaHumansLumbar VertebraeRange of Motion, ArticularSpineVertebral BodyCurve correctionFusionlessGrowth modulationScoliosisVertebral body tethering

Identifiers

PMID34716821
OpenAlexW3209750478

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.