Progressive double major scoliotic curve with concurrent lumbosacral spondylolisthesis in a skeletally immature patient with Marfan syndrome treated with anterior scoliosis correction

Cuddihy, Laury; Antonacci, M. Darryl; Vig, Khushdeep S.; Hussain, Awais K.; Leven, Dante M.; Betz, Randal R.

doi:10.1007/s43390-020-00031-6

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…26 In addition, VBT is not absolutely contraindicated for non-IS patients. 12,13,50 However, the application of VBT in patients with syndromic scoliosis should be carefully evaluated, as syndromic scoliosis may lead to relatively unexpected adverse outcomes due to its primary disease.…”

Section: Discussionmentioning

confidence: 99%

Minimum 3-year experience with vertebral body tethering for treating scoliosis: A systematic review and single-arm meta-analysis

Zhu

Qiu

Liu

et al. 2022

J Orthop Surg (Hong Kong)

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Purpose Over the past 12 years, vertebral body tethering (VBT) has been gradually promoted for treating scoliosis, but there are few published studies, with only short-term follow-up. This study aimed to systematically review VBT efficacy and safety for treating scoliosis. Methods PubMed, Web of Science, Embase, and the Cochrane Library were searched for studies on VBT treatment of scoliosis published up to November 2021. Two researchers independently screened the literature, extracted data, and assessed the risk of bias in included studies. Data on clinical efficacy, unplanned reoperations, and complications were extracted. The meta-analysis was performed with R 4.1.0. Results Twenty-six studies involving 1045 patients were included in the meta-analysis. The correction rate of major curve immediately post-operation was 46.6% ± 13.8% (16%–69%) and that at final follow-up was 53.2% ± 17.9% (16%–79%). The single-arm meta-analysis results of all included studies showed that VBT was effective in general. The overall clinical success rate was 73.02% (95% confidence interval [CI]: 68.31%–78.05%). The pooled overall unplanned reoperation rate was 8.66% (95% CI: 5.53%–13.31%). The overall incidence rate of complications was 36.8% (95% CI: 23.9%–49.7%). The subgroup analysis based on follow-up time indicated that patients with follow-up time >36 months had increased clinical success rate, unplanned reoperation rate, and incidence rate of complications compared with those with <36 months’ follow-up time. The preliminary results showed that after 36 months of follow-up, only 7.17% (95% CI: 4.81%–10.55%) of patients required posterior spinal fusion (PSF) surgery and nearly 93% of patients avoided spinal fusion surgeries. Conclusions The current evidence from at least 3-year follow-up in different countries indicates that VBT is an effective surgical approach for treating scoliosis, with 73.88% of patients achieving clinical success. Nevertheless, about one in seven patients (15.8%) required unplanned reoperations, but only 7.17% required PSF. About half (52.17%) of the patients experienced complications. Due to the limitation of the study number and quality, our conclusion may be biased and requires verification by further studies with longer follow-up times.

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Section: Discussionmentioning

confidence: 99%

Minimum 3-year experience with vertebral body tethering for treating scoliosis: A systematic review and single-arm meta-analysis

Zhu

Qiu

Liu

et al. 2022

J Orthop Surg (Hong Kong)

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“…We reported on a 12-year-old girl with Marfan syndrome, spondylolisthesis, and severe progressive scoliosis who underwent a two-stage procedure to achieve correction. 19 Muscle sparing posterior far lateral interbody fusion (FLIF) of the spondylolisthesis from L4-S1 was initially performed, followed 1 week later by ASC from right T4-T11 and left T11-L3. Follow-up from the index procedures for the spondylolisthesis and scoliosis was 35 months.…”

Section: Lumbosacral Spondylolisthesis In An Immature Patient With Marfan Syndromementioning

confidence: 99%

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

Antonacci¹,

Antonacci²,

Bassett³

et al. 2021

MRAJ

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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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“…ASC is the authors' multi-year, multi-generational modification of the original anterior vertebral body tethering (VBT) technique but includes preservation of the segmental arteries and multi-level anterior longitudinal ligament and disc complex releasing techniques ("de-tethering") to obtain adequate derotation. [10][11][12] Unlike VBT, ASC has been shown to derotate the hypokyphotic scoliotic spine effectively towards normal thoracic kyphosis. [10][11][12] Because of this, ASC indications by the authors include the vast majority of thoracic, thoracolumbar, and lumbar curves in both immature and mature patients including stiff and severe curves.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] Unlike VBT, ASC has been shown to derotate the hypokyphotic scoliotic spine effectively towards normal thoracic kyphosis. [10][11][12] Because of this, ASC indications by the authors include the vast majority of thoracic, thoracolumbar, and lumbar curves in both immature and mature patients including stiff and severe curves. The aim of this case report is to present the long-term results of a 50year-old woman with progressive scoliosis from adolescence utilizing our early generation ASC technique.…”

Section: Introductionmentioning

confidence: 99%

Treatment for an Adult Patient with Slowly Progressive Idiopathic Scoliosis Using a Unique Anterior Scoliosis Correction Technique: A Case Report

Antonacci

Yung

Antonacci

et al. 2022

MRAJ

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Adolescent idiopathic scoliosis (AIS) can continue to progress after skeletal maturity. Once the progression is severe, posterior spinal fusion (PSF) is the gold standard for surgical treatment. While effective in achieving curve correction, PSF is associated with many problems, including loss of spinal flexibility, uncorrected sagittal deformity, and adjacent segment disease. We present a case of a 50-year-old woman with a documented 38º thoracic curve as a late teen who experienced curve progression after skeletal maturity to >70 ° and underwent Anterior Scoliosis Correction (ASC), a motion-preserving scoliosis correction surgery. Her progressive curve improved from 71º Lenke 1A main thoracic curve to 28°, with a 59% correction being maintained within 5° (33°) at 7 years. She also obtained a 50% correction of her compensatory lumbar curve and correction of hypokyphosis from 2.4° to 23° at 7 years. Along with improvement of her thoracic kyphosis, her lumbar lordosis decreased to a normal range of 60° from 70°, giving her better overall alignment. This case report suggests that motion preserving surgical treatment may be considered for some select adult patients with progressive scoliosis. Key Words: Progressive Scoliosis, Anterior Scoliosis Correction

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Progressive double major scoliotic curve with concurrent lumbosacral spondylolisthesis in a skeletally immature patient with Marfan syndrome treated with anterior scoliosis correction

Cited by 5 publications

References 12 publications

Minimum 3-year experience with vertebral body tethering for treating scoliosis: A systematic review and single-arm meta-analysis

Minimum 3-year experience with vertebral body tethering for treating scoliosis: A systematic review and single-arm meta-analysis

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

Treatment for an Adult Patient with Slowly Progressive Idiopathic Scoliosis Using a Unique Anterior Scoliosis Correction Technique: A Case Report

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