
08/06/2025
In a child or adolescent, where the bones are not fully formed as in an adult, wearing an external brace can sometimes be effective at stopping progression of the curve. When bracing fails to work or is not an option, there are now two new minimally invasive options that access the spine through tiny incisions near the ribs. Vertebral Body Stapling uses a series of staples on one side of the vertebrae to correct scoliosis like braces on teeth. Vertebral Body Tethering uses a cable attached to one side of the vertebrae to correct and then control the curve. Both techniques work on one side of the curve to prevent it from worsening during the adolescent growth spurt. Sometimes it may be the only surgery needed. A benefit of both minimally invasive techniques is that they don’t burn any bridges and more traditional corrective instrumentation can be used later on if necessary. Tethering applies mostly to adolescent spinal curves that are still in the growth spurt stage. Typically the teen needs to have 30% of their growth left (age 14 for girls and age 16 for boys). A candidate would have idiopathic scoliosis with curve less than 65 degrees who are generally flexible and whose bone structure is large enough to accept the installation of screws and anchors into the vertebrae. The young patient should also have failed traditional bracing, or cannot tolerate wearing a brace.
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