Treatment of Patients with Scoliosis Using a Unique Anterior Scoliosis Correction Technique

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Christopher L. Antonacci, MD, MPH M. Darryl Antonacci, MD William P. Bassett, MD Janet L. Cerrone, PA-C Allison R. Haas, BSN, RNFA Dominque S. Haoson, BS Laury A. Cuddihy, MD Randal R. Betz, MD

Abstract

Treatment for adolescent idiopathic scoliosis (AIS) is dependent upon multiple factors, including curve type and magnitude, curve progression, skeletal maturity, and clinical trunk deformity. While fusion is effective at achieving curve correction, it is associated with disadvantages including prominent implants beneath the skin, back muscle scarring and atrophy, decreased spine range of motion, and decreased functional spinal mobility. Additional concerns include the potential for longer term development of premature adjacent level disc and facet joint degeneration above and below the fusion. Due to these issues with spinal fusion, surgeons have explored alternative surgical approaches to correct spinal deformity and halt curve progression using either growth modulation or remodeling of the spine while preserving motion. This paper provides an overview of a non-fusion scoliosis correction technique called Anterior Scoliosis Correction (ASC).

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How to Cite
ANTONACCI, Christopher L. et al. Treatment of Patients with Scoliosis Using a Unique Anterior Scoliosis Correction Technique. Medical Research Archives, [S.l.], v. 9, n. 7, july 2021. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2463>. Date accessed: 19 may 2022. doi: https://doi.org/10.18103/mra.v9i7.2463.
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Research Articles

References

1. Agabegi SS, Kazemi N, Sturm PF, Mehlman CT. Natural history of adolescent idiopathic scoliosis in skeletally mature patients: a critical review. J AAOS. 2015;23(12):714-723. doi:10.5435/JAAOS-D-14-00037
2. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: A case-control study. Spine (Phila, Pa 1976). 2006;31(3):275-283. doi:10.1097/01.brs.0000197652.52890.71
3. Kepler CK, Meredith DS, Green DW, Widmann RF. Long-term outcomes after posterior spine fusion for adolescent idiopathic scoliosis. Curr Opin Pediatr. 2012;24(1):68-75. doi:10.1097/MOP.0b013e32834ec982
4. Green DW, Lawhorne TW, Widmann RF, et al. Long-term magnetic resonance imaging follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine (Phila, Pa 1976). 2011;36(23):1948-1954. doi:10.1097/BRS.0b013e3181ff1ea9
5. Samdani AF, Ames RJ, Kimball JS, et al. Anterior vertebral body tethering for idiopathic scoliosis: two-year results. Spine (Phila, Pa 1976). 2014;39(20):1688-1693. doi:10.1097/BRS.0000000000000472
6. Samdani AF, Ames RJ, Kimball JS, Pahys JM, Grewal H, Pelletier GJ, Betz RR. Anterior vertebral body tethering for immature adolescent idiopathic scoliosis: one-year results on the first 32 patients. Eur Spine J. 2015;24:1533-1539. doi:10.1007/s00586-014-3706-z
7. Kasliwal MK, Shaffrey CI, Lenke LG, Dettori JR, Ely CG, Smith JS. Frequency, risk factors, and treatment of distal adjacent segment pathology after long thoracolumbar fusion: a systematic review. Spine (Phila, Pa 1976). 2012;37(22 Suppl):S165-S179. doi:10.1097/BRS.0b013e31826d62c9\
8. Newton PO, Fricka KB, Lee SS, Farnsworth CL, Cox TG, Mahar AT. Asymmetrical flexible tethering of spine growth in an immature bovine model. Spine (Phila, Pa 1976). 2002;27(7):689-693. doi:10.1097/00007632-200204010-00004
9. Newton PO, Farnsworth CL, Faro FD, Mahar AT, Odell TR, Mohamad F, Breisch E, Fricka K, Upasani V, Amiel D. Spinal growth modulation with an anterolateral flexible tether in an immature bovine model: disc health and motion preservation. Spine (Phila, Pa 1976). 2008;33(7):724-733. doi:10.1097/BRS.0b013e31816950a0
10. Crawford CH, Lenke LG. Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report. J Bone Joint Surg Am. 2010;92(1):202-209. doi:10.2106/JBJS.H.01728
11. Betz RR, Antonacci MD, Cuddihy LA. Alternatives to spinal fusion surgery in pediatric deformity. Curr Orthop Pract. 2018;29(5):1-. doi:10.1097/BCO.0000000000000673
12. Miller DJ, Blumberg TJ, Nelson SE, Trobisch PD, Cahill PJ. Adolescent Scoliosis. In: Minimally Invasive Spine Surgery. Springer International; 2020:439-454. doi:10.1007/978-3-030-19007-1_37
13. Parvaresh KC, Osborn EJ, Reighard FG, Doan J, Bastrom TP, Newton PO. Predicting 3D thoracic kyphosis using traditional 2D radiographic measurements in adolescent idiopathic scoliosis. Spine Deform. 2017 May;5(3):159-165. doi: 10.1016/j.jspd.2016.12.002.
14. Newton PO, Kluck DG, Saito W, Yaszay B, Bartley CE, Bastrom TP. Anterior spinal growth tethering for skeletally immature patients with scoliosis: a retrospective look two to four years postoperatively. J Bone Joint Surg Am. 2018;100(19):1691-1697. doi:10.2106/JBJS.18.00287.
15. Miyanji F, Pawelek J, Nasto A, et al. A prospective multicenter analysis of the efficacy of anterior vertebral body tethering (AVBT) in the treatment of idiopathic scoliosis. Spine Deform. 2018;6:820. doi:10.1016/j.jspd.2018.09.062
16. Hoernschemeyer DG, Boeyer ME, Robertson ME, et al. Anterior vertebral body tethering for adolescent scoliosis with growth remaining: a retrospective review of 2 to 5-year postoperative results. J Bone Joint Surg Am. 2020;102(13):1169-1176. doi:10.2106/JBJS.19.00980
17. Newton PO, Marks MC, Bastrom TP, et al. Surgical treatment of Lenke 1 main thoracic idiopathic scoliosis: results of a prospective, multicenter study. Spine (Phila, Pa 1976). 2013;38(4):328-338. doi:10.1097/BRS.0b013e31826c6df4
18. Cuddihy LA, Antonacci MD, Hussain AK, Vig KS, Mulcahey MJ, Betz RR. Progressive neuromuscular scoliosis secondary to spinal cord injury in a young patient treated with nonfusion anterior scoliosis correction. Top Spinal Cord Inj Rehabil. 2019;25(2):150-156. doi:10.1310/sci2502-150
19. Cuddihy LA, Antonacci MD, Vig KS, Hussain AK, Leven D, Betz RR. Progressive double major scoliotic curve with concurrent lumbosacral spondylolisthesis in a skeletally immature patient with Marfan syndrome treated with anterior scoliosis correction. Spine Deform. 2020;8(1):139-146. doi: 10.1007/s43390-020-00031-6