{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:48Z","timestamp":1787019468716,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare patient-reported physical activity between anterior thoracic vertebral body tethering and posterior lumbar spine tethering (ATVBT\/PLST) and posterior spinal instrumentation and fusion (PSIF) with minimum 2\u00a0year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive skeletally immature patients with idiopathic scoliosis and a thoracic and lumbar curve magnitude \u226540\u00b0 who underwent either ATVBT\/PLST or PSIF from 2015-2019 were included. The primary outcome was rate of returning to sport. Secondary outcomes included ability to bend and satisfaction with sport performance as well as weeks until return to sport, school, physical education (PE) classes, and running.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten patients underwent ATVBT\/PLST and 12 underwent PSIF. ATVBT\/PLST patients reported significantly faster return to sport (13.5\u00a0weeks vs 27.9\u00a0weeks,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .04), running (13.3\u00a0weeks vs 28.8\u00a0weeks,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02), and PE class (12.6\u00a0weeks vs 26.2\u00a0weeks,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .04) compared to PSIF patients. ATVBT\/PLST patients reported that they had to give up activities due to their ability to bend at lower rates than PSIF patients while reporting \u201cno changes\u201d in their ability to bend after surgery at higher rates than PSIF patients (0% vs 4% giving up activities and 70% vs 0% reporting no changes in bending ability for ATVBT\/PLST and PSIF, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .01). Compared to PSIF patients, ATVBT\/PLST patients experienced less main thoracic and thoracolumbar\/lumbar curve correction at most recent follow-up (thoracic: 41 \u00b1 19% vs 69 \u00b1 18%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001; thoracolumbar\/lumbar: 59 \u00b1 25% vs 78 \u00b1 15%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02). No significant differences in the number of revision surgeries were observed between ATVBT\/PLST and PSIF patients (4 (40%) and 1 (8%) for ATVBT\/PLST and PSIF, respectively,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .221).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ATVBT\/PLST patients reported significantly faster rates of returning to sport, running, and PE. In addition, ATVBT\/PLST patients were less likely to have to give up activities due to bending ability after surgery and reported no changes in their ability to bend after surgery more frequently than PSIF patients. However, the overall rate of return to the same or higher level of sport participation was high amongst both groups, with no significant difference observed between ATVBT\/PLST and PSIF patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682231222887","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T20:49:56Z","timestamp":1702586996000},"page":"1068-1076","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Combined Anterior Thoracic Vertebral Body Tethering and Posterior Lumbar Tethering Results in Quicker Return to Sport and Activity Compared to Posterior Spinal Instrumented Fusion in Patients with Adolescent Idiopathic Scoliosis"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4562-4373","authenticated-orcid":false,"given":"Jacob F.","family":"Oeding","sequence":"first","affiliation":[{"name":"Mayo Clinic 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