{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T03:52:46Z","timestamp":1784692366306,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T00:00:00Z","timestamp":1674172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Vertebral Body Tethering (VBT) is a recently developed surgical technique for the treatment of progressive and severe scoliosis in patients with significant growth potential. It has been used since the first exploratory series, which showed encouraging results on the progressive correction of the major curves. This study reports on a retrospective series of 85 patients extracted from a French cohort, with a follow-up at a minimum of two years after a VBT with recent screws-and-tether constructs. The major and compensatory curves were measured pre-operatively, at the 1st standing X-ray, at 1 year, and at the last available follow-up. The complications were also analyzed. A significant improvement was observed in the curve magnitude after surgery. Thanks to growth modulation, both the main and the secondary curves continued to progress over time. Both the thoracic kyphosis and lumbar lordosis remained stable over time. Overcorrection occurred in 11% of the cases. Tether breakage was observed in 2% of the cases and pulmonary complications in 3% of the cases. VBT is an effective technique for the management of adolescent idiopathic scoliosis patients with residual growth potential. VBT opens an era of a more subtle and patient-specific surgical management of AIS that considers parameters such as flexibility and growth.<\/jats:p>","DOI":"10.3390\/children10020192","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T02:35:55Z","timestamp":1674182155000},"page":"192","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Vertebral Body Tethering in AIS Management\u2014A Preliminary Report"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8480-246X","authenticated-orcid":false,"given":"Aur\u00e9lien","family":"Courvoisier","sequence":"first","affiliation":[{"name":"TIMC, University Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, 38000 Grenoble, France"},{"name":"Grenoble Alps Scoliosis and Spine Center, Grenoble Alps University Hospital, Bvd de la Chantourne, CEDEX 09, 38043 Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4383-3470","authenticated-orcid":false,"given":"Alice","family":"Baroncini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, RWTH Uniklinik Aachen, Pauwelsstra\u00dfe 30, 52074 Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8758-5691","authenticated-orcid":false,"given":"Cl\u00e9ment","family":"Jeandel","sequence":"additional","affiliation":[{"name":"Grenoble Alps Scoliosis and Spine Center, Grenoble Alps University Hospital, Bvd de la Chantourne, CEDEX 09, 38043 Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9mentine","family":"Barra","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, H\u00f4pital Femme M\u00e8re Enfant, H\u00f4pitaux civils de Lyon, 59 Bd Pinel, 69500 Bron, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Lefevre","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, CHU de Bordeaux, Pl. Am\u00e9lie Raba L\u00e9on, 33000 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-5330","authenticated-orcid":false,"given":"Federico","family":"Solla","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, Fondation Lenval, 57 Avenue de la Californie, 06200 Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Gouron","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, CHU d\u2019Amiens, Universit\u00e9 Picardie Jules Verne, Chemin du Thil, CS 52501, CEDEX 1, 80025 Amiens, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Damien","family":"M\u00e9taizeau","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, Centre Hospitalier Universitaire F.Mitterrand Dijon-Bourgogne, 14 Rue Paul Gaffarel, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2004-9840","authenticated-orcid":false,"given":"Marie-Christine","family":"Maximin","sequence":"additional","affiliation":[{"name":"Grenoble Alps Scoliosis and Spine Center, Grenoble Alps University Hospital, Bvd de la Chantourne, CEDEX 09, 38043 Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Cunin","sequence":"additional","affiliation":[{"name":"Service d\u2019Orthop\u00e9die P\u00e9diatrique, H\u00f4pital Femme M\u00e8re Enfant, H\u00f4pitaux civils de Lyon, 59 Bd Pinel, 69500 Bron, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.2106\/JBJS.H.01728","article-title":"Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: A case report","volume":"92","author":"Crawford","year":"2010","journal-title":"J. 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