Dynamic Scoliosis Correction as Alternative Treatment for Patients with Adolescent Idiopathic Scoliosis: a Non-Fusion Surgical Technique

Per David Trobisch; Philipp Kobbe; Alice Baroncini

doi:10.1055/a-0983-1265

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2020; 158(06): 641-646
DOI: 10.1055/a-0983-1265

Review/Übersicht

Dynamic Scoliosis Correction as Alternative Treatment for Patients with Adolescent Idiopathic Scoliosis: a Non-Fusion Surgical Technique

Article in several languages: English | deutsch

Authors

Per David Trobisch

¹Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath
Philipp Kobbe

²Department of Trauma Surgery, University Hospital RWTH Aachen
Alice Baroncini

¹Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath

Abstract

Anterior dynamic scoliosis correction is an innovative non-fusion option in the treatment of patients with severe adolescent scoliosis. Growth modulation and sometimes intraoperative curve correction is achieved by convex insertion of segmental screws and a flexible polyethylene cord. The present review analyses and discusses the current literature and proposes a new treatment algorithm that is based on our own experience. Short term results are published for approximately 100 patients from different institutions. Fusion could be prevented in the vast majority of patients. Perioperative complication rate is very low but a few cases of cord rupture and overcorrection are reported. Anterior dynamic scoliosis correction has promising short term results but there is a paucity of literature and optimal criteria for the best candidate has yet to be defined.

Key words

scoliosis - VBT - dynamic scoliosis correction - tether

Full Text

References

References/Literatur
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