ArticleSpine deformity2022
Vertebral body tethering compared to posterior spinal fusion for skeletally immature adolescent idiopathic scoliosis patients: preliminary results from a matched case-control study.
Article in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Pooled it
- Segmental range-of-motion by vertebral level in fused and unfused patients with adolescent idiopathic scoliosis: a systematic review of the literature.Spine deformity · 2025Pooled it
- Vertebral body tethering for idiopathic scoliosis: a systematic review and meta-analysis.Spine deformity · 2023Pooled it
- Can anterior vertebral body tethering provide superior range of motion outcomes compared to posterior spinal fusion in adolescent idiopathic scoliosis? A systematic review.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 · 2023Pooled it
- Reoperation and fusion after documented tether breakage following vertebral body tethering: a systematic review and meta-analysis.Spine deformity · 2026Article
- Complications and unplanned return to the operating room (UPROR) at five years post-operative vertebral body tethering for idiopathic scoliosis.Spine deformity · 2026Article
- Functional, Radiographic, and Patient-Reported Outcomes of Hybrid Fixation Versus Posterior Long Fusion for Double-Major Adolescent Idiopathic Scoliosis.Journal of clinical medicine · 2026Article
- Sagittal Alignment Reciprocal Changes After Thoracolumbar/Lumbar Anterior Vertebral Body Tethering.Journal of clinical medicine · 2026Article
- Patient-specific biomechanical modeling of intraoperative scoliosis correction on the 2-year outcomes for thoracolumbar/lumbar vertebral body tethering.Spine deformity · 2026Article
- Does screw alignment affect tether breakage in vertebral body tethering?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 · 2025Article
- Outcomes after vertebral body tethering for Lenke type 5 scoliosis continue to improve: analysis of different surgical techniques.Spine deformity · 2025Article
- Anterior Vertebral Body Tethering Versus Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis of Comparative Outcomes.Journal of clinical medicine · 2025Review
- Review
- Comparison of postoperative and outpatient opioid use in adolescent idiopathic scoliosis patients treated with posterior spinal fusion surgery and vertebral body tethering.Spine deformity · 2025Article
- Reducing postoperative morbidity by diminishing chest tube drainage utilizing tranexamic acid following vertebral body tethering for adolescent idiopathic scoliosis.Spine deformity · 2025Article
- Reactive Balance in Adolescent Idiopathic Scoliosis: A Prospective Motion Analysis Study.Journal of clinical medicine · 2025Article
- Matched comparison of non-fusion surgeries for adolescent idiopathic scoliosis: posterior dynamic distraction device and vertebral body tethering.Spine deformity · 2025Article
- A case series in vertebral body tethering results in improvement in coronal Cobb angle but deterioration in axial rotation: a 3-dimensional analysis.Journal of spine surgery (Hong Kong) · 2024Article
- A comparison of patients receiving vertebral body tethering for adolescent idiopathic scoliosis in the public and private hospital setting.Journal of orthopaedic surgery and research · 2024Article
- Anterior vertebral body tethering shows clinically comparable shoulder balance outcomes to posterior spinal fusion.Spine deformity · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDirect comparisons between vertebral body tethering (VBT) and posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) are limited. We aimed to evaluate 2-year results of VBT and PSF to report comparative outcomes.
methods26 prospectively enrolled VBT patients were matched 1:1 by age, gender, Risser sign and major curve magnitude with PSF patients. At a minimum 2-year follow-up, surgical results and radiographic outcomes were reviewed.
resultsOperative time, anesthesia time, blood loss, and length of stay were significantly lower in the VBT group (< 0.001, p = 0.003, p < 0.001, p < 0.001, respectively). The major curve at 2 years was corrected by 46% in the VBT group vs. 66% in the PSF (p = 0.0004). Success following VBT, defined as no fusion surgery and Cobb angle < 35° at the 2-year follow-up, was seen in 20 VBT patients (77%) (p = 0.0003) and correlated with mean Cobb angle of < 35° on 3-month imaging. 12 VBT patients (46%) showed curve improvement over time, and those patients had significantly lower mean Cobb angle on the 3-month radiograph than non-modulators (23° vs 31°, p = 0.014). At 2 years, cord breakage occurred in five patients (19%). By 2 years, three VBT patients developed complications (2 pleural effusion and 1 overcorrection needing return to OR). In contrast to PSF, growth continued at T1-T12 (mean 13 mm) and over the instrumented levels (mean 10 mm) following VBT, compared to no growth over instrumented segments in the fusion cohort (p = 0.011, p = 0.0001).
conclusionIn Sanders stages 3 and 4 patients treated in the USA, Cobb angle < 35° on 3-month imaging was associated with success at the 2-year follow-up. Curve correction was superior in the PSF group with 96% achieving curve correction to < 35° vs. 77% of the VBT patients. Cord breakage was noted in 19% of VBT patients at the 2-year follow-up. Three patients developed complications in both the VBT and PSF cohorts. LEVEL OF EVIDENCE: Level II (prospective study with matched retrospective comparison group).
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