Vertebral Growth Modulation with Pedicular Tethering for the Treatment of AIS: A Proof of Concept Report

For the adolescents with progressive Idiopathic Scoliosis and a Cobb angle beyond 25º, bracing is still the standard of care. However, many curves will continue to deteriorate due to refractory progression, refusal to accept this type of treatment or patient noncompliance. Surgery is required when nonoperative management fails, in order to prevent curve progression, correct the deformity and to minimize morbidity but at the costs of fusing a segment of the deformed spine and loosing spinal motion. For this reason, over the last decades, surgeons have been searching for other surgical alternatives to achieve the same objectives.