| Title: |
A case series in vertebral body tethering results in improvement in coronal Cobb angle but deterioration in axial rotation: a 3-dimensional analysis |
| Authors: |
Wong, Teenie Kwan Tung; Kwan, Kenny Yat Hong; Cheung, Jason Pui Yin; Cheung, Kenneth Man Chee |
| Publisher Information: |
AME Publishing Company |
| Publication Year: |
2024 |
| Collection: |
University of Hong Kong: HKU Scholars Hub |
| Subject Terms: |
Adolescent idiopathic scoliosis (AIS); case series; growth modulation; three-dimensional (3D); vertebral body tethering (VBT) |
| Description: |
Background: Vertebral body tethering (VBT) has shown improvements in coronal and sagittal plane correction in adolescent idiopathic scoliosis (AIS) patients, but axial correction over time remains unexplored. Three-dimensional (3D) spine reconstruction was used to analyse correctional changes in all spinal planes post VBT surgery. Case Description: AIS subjects who underwent thoracic VBT surgery with a minimum 2-year follow-up were assessed. Biplanar radiographs were used for 3D spinal reconstructions, 3D coronal, sagittal thoracic kyphosis (TK), lumbar lordosis (LL), and axial rotation measurements were compared at pre-operative (pre-op), immediate post-operative (post-op), 1-year, and 2-year follow-up. Eight patients (7 females, 1 male) with a mean age of 11.8±1.3 years with right thoracic curves (mean 50.4°±8.1°) were followed for 26.8±4.1 months. Mean coronal Cobb angle showed significant improvement: 28.4°, 19.2°, and 27.1° at post-op, 1-year, and 2-year follow-up (P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
Journal of Spine Surgery; 696; 687; https://hub.hku.hk/handle/10722/355340; 10 |
| DOI: |
10.21037/jss-24-59 |
| Availability: |
https://hub.hku.hk/handle/10722/355340; https://doi.org/10.21037/jss-24-59 |
| Rights: |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. |
| Accession Number: |
edsbas.9162BBDA |
| Database: |
BASE |