ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
The use of electronic conductivity devices can effectively reduce radiation exposure in vertebral body tethering.
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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- 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
- Clinical experience and complications with limited pleural dissection combined with a novel, simplified technique for thoracic Redon-like drain in vertebral body tethering.Spine deformity · 2024Article
- Biomechanics of the tether breakage: tensile behaviour of a single-unit vertebral body tethering construct.Spine deformity · 2023Article
- Biomechanics of the tether breakage: tensile behaviour of a single-unit vertebral body tethering construct.Spine deformity · 2023Article
- Inter-screw index as a novel diagnostic indicator of tether breakage.Spine deformity · 2023Article
- 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 · 2023Article
- Vertebral Body Tethering in AIS Management-A Preliminary Report.Children (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVertebral body tethering (VBT) presents new challenges in respect to radiation exposure, as screws cannot be placed free-hand and the lateral positioning of the patients increases scattered radiation. To reduce radiation exposure, we introduced the use of electronic conductivity device (ECD). These are drilling probes send an audio signal when cortical bone is breached. Thus, anterior, bicortical screws can be placed without multiple fluoroscopic controls. ECD has been used for all VBT procedures at our institution starting April 2020. The aim of this study was to test the safety of ECD and its efficacy in radiation reduction in comparison with the current standard, the fluoroscopic guidance. MATERIALS AND
methodsAll patients who underwent VBT between August 2019 and December 2020 were retrospectively reviewed and divided into two groups according to whether ECD had been used or not. The radiation exposure per procedure and per screw was compared among the two groups, overall and separately for thoracic, lumbar and bilateral procedures. The rate of misplaced screws was calculated.
resultsData from 62 patients and 825 screws were obtained (397 with ECD). No screw misplacement was observed. Radiation reduction with ECD reached up to 41%. A significant reduction was observed in the radiation per procedure in bilateral instrumentation (from 9.16 to 5.52 mGy*m
conclusionECD can safely and effectively reduce the radiation exposure for VBT procedures.
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