{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T05:33:44Z","timestamp":1793252024843,"version":"4.5.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a case of adolescent-onset idiopathic scoliosis of the lumbar spine in a 43-year-old woman treated with nonfusion vertebral body tethering (VBT), a controversial and unreported technique in this age group. At 6-year follow-up, clinical and radiographic improvements are maintained. She continues to live an active lifestyle and reports being pain free.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We demonstrate intermediate term safety and efficacy of VBT in a single adult patient. Careful ongoing assessment of this patient is needed to determine if this procedure will have a durable outcome and lend support for adequately powered prospective multicenter studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00394","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T14:00:36Z","timestamp":1740060036000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Vertebral Body Tethering in an Adult With Lumbar Idiopathic Scoliosis"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0987-0761","authenticated-orcid":false,"given":"Jonathan","family":"Markowitz","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Icahn School of Medicine Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6182-0315","authenticated-orcid":false,"given":"Rene","family":"Castelein","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0819-663X","authenticated-orcid":false,"given":"Baron","family":"Lonner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Icahn School of Medicine Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"1","key":"bib1-20250220","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4103\/jcvjs.jcvjs_159_21","article-title":"Complications of adult spinal deformity surgery: a literature review","volume":"13","author":"Ak\u0131nt\u00fcrk","year":"2022","journal-title":"J Craniovertebr Junction Spine."},{"issue":"9","key":"bib2-20250220","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1007\/s00586-018-5535-y","article-title":"Complications in adult spine deformity surgery: a systematic review of the recent literature with reporting of aggregated incidences","volume":"27","author":"Zanirato","year":"2018","journal-title":"Eur Spine J."},{"issue":"9","key":"bib3-20250220","doi-asserted-by":"crossref","first-page":"E593","DOI":"10.1097\/BRS.0b013e3182059bfd","article-title":"Scoliosis research society morbidity and mortality of adult scoliosis surgery","volume":"36","author":"Sansur","year":"2011","journal-title":"Spine (Phila Pa 1976)."},{"issue":"24","key":"bib4-20250220","doi-asserted-by":"crossref","first-page":"2764","DOI":"10.1097\/BRS.0b013e31815a7644","article-title":"The impact of perioperative complications on clinical outcome in adult deformity surgery","volume":"32","author":"Glassman","year":"2007","journal-title":"Spine (Phila Pa 1976)."},{"issue":"6","key":"bib5-20250220","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.23.00028","article-title":"Adjacent segment disease after spinal fusion","volume":"11","author":"McDonald","year":"2023","journal-title":"JBJS Rev."},{"issue":"6","key":"bib6-20250220","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.jspd.2018.03.013","article-title":"Disc degeneration in unfused caudal motion segments ten years following surgery for adolescent idiopathic scoliosis","volume":"6","author":"Lonner","year":"2018","journal-title":"Spine Deform."},{"issue":"4","key":"bib7-20250220","doi-asserted-by":"crossref","first-page":"126","DOI":"10.14245\/kjs.2017.14.4.126","article-title":"Proximal junctional kyphosis and proximal junctional failure following adult spinal deformity surgery","volume":"14","author":"Hyun","year":"2017","journal-title":"Korean J Spine."},{"issue":"4","key":"bib8-20250220","first-page":"721","article-title":"Pseudarthrosis in adult spinal deformity following multisegmental instrumentation and arthrodesis","volume":"88","author":"Kim","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"24","key":"bib9-20250220","doi-asserted-by":"crossref","first-page":"2299","DOI":"10.2106\/JBJS.20.01533","article-title":"Measurable thoracic motion remains at 1 Year following anterior vertebral body tethering, with sagittal motion greater than coronal motion","volume":"103","author":"Buyuk","year":"2021","journal-title":"J Bone Joint Surg Am."},{"issue":"8","key":"bib10-20250220","doi-asserted-by":"crossref","first-page":"e861","DOI":"10.1097\/BPO.0000000000002202","article-title":"Measurable lumbar motion remains 1 Year after vertebral body tethering","volume":"42","author":"Mathew","year":"2022","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib11-20250220","doi-asserted-by":"crossref","first-page":"170","DOI":"10.3171\/2012.11.SPINE12979","article-title":"The lasting legacy of Paul Randall Harrington to pediatric spine surgery: historical vignette","volume":"18","author":"Desai","year":"2013","journal-title":"J Neurosurg Spine."},{"issue":"143","key":"bib12-20250220","first-page":"40025","article-title":"Orthopedic devices: classification and reclassification of pedicle screw spinal systems--FDA. Final rule","volume":"63","year":"1998","journal-title":"Fed Regist."},{"issue":"9746","key":"bib13-20250220","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/S0140-6736(10)61474-2","article-title":"The ethical challenges of surgical innovation for patient care","volume":"376","author":"Angelos","year":"2010","journal-title":"Lancet."},{"issue":"23","key":"bib14-20250220","doi-asserted-by":"crossref","first-page":"e1032","DOI":"10.5435\/JAAOS-D-20-00556","article-title":"Shared decision-making in orthopaedic surgery","volume":"28","author":"Wilson","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"issue":"10","key":"bib15-20250220","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1097\/BRS.0000000000004257","article-title":"Patient and spine surgeon perceptions on shared decision-making in the treatment of older adults undergoing corrective surgery for adult spinal deformity","volume":"47","author":"Deme","year":"2022","journal-title":"Spine (Phila Pa 1976)."},{"issue":"4","key":"bib16-20250220","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1007\/s00586-021-07035-4","article-title":"Motion preservation surgery for scoliosis with a vertebral body tethering system: a biomechanical study","volume":"31","author":"Nicolini","year":"2022","journal-title":"Eur Spine J."},{"issue":"1","key":"bib17-20250220","doi-asserted-by":"crossref","first-page":"6","DOI":"10.14444\/8357","article-title":"Anterior vertebral body tethering for scoliosis patients with and without skeletal growth remaining: a retrospective review with minimum 2-year follow-up","volume":"17","author":"Treuheim","year":"2023","journal-title":"Int J Spine Surg."},{"issue":"11","key":"bib18-20250220","doi-asserted-by":"crossref","first-page":"3161","DOI":"10.3390\/jcm11113161","article-title":"Vertebral body tethering in 49 adolescent patients after peak height velocity for the treatment of idiopathic scoliosis: 2-5 Year follow-up","volume":"11","author":"Meyers","year":"2022","journal-title":"J Clin Med."},{"issue":"15","key":"bib19-20250220","doi-asserted-by":"crossref","first-page":"3217","DOI":"10.3390\/jcm10153217","article-title":"Ossification and fusion of the vertebral ring apophysis as an important part of spinal maturation","volume":"10","author":"Costa","year":"2021","journal-title":"J Clin Med."},{"issue":"21","key":"bib20-20250220","doi-asserted-by":"crossref","first-page":"E1313","DOI":"10.1097\/BRS.0b013e3182a0d5fa","article-title":"Posteriorly directed shear loads and disc degeneration affect the torsional stiffness of spinal motion segments: a biomechanical modeling study","volume":"38","author":"Homminga","year":"2013","journal-title":"Spine (Phila Pa 1976)."},{"issue":"10","key":"bib21-20250220","doi-asserted-by":"crossref","first-page":"1850","DOI":"10.1002\/jbmr.4137","article-title":"Idiopathic scoliosis as a rotatory decompensation of the spine","volume":"35","author":"Castelein","year":"2020","journal-title":"J Bone Miner Res."},{"issue":"4","key":"bib22-20250220","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1007\/s43390-022-00490-z","article-title":"Anterior vertebral body tethering for idiopathic scoliosis: how well does the tether hold up?","volume":"10","author":"Shankar","year":"2022","journal-title":"Spine Deform."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:51:28Z","timestamp":1787752288000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00394"}},"subtitle":["Rationale and 6-Year Outcomes"],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00394","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}