{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T01:27:49Z","timestamp":1782350869992,"version":"3.54.5"},"reference-count":27,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Vertebral Body Tethering (VBT) is a non-fusion surgical treatment for Adolescent Idiopathic Scoliosis (AIS) that elicits correction via growth modulation in skeletally immature patients. VBT after peak height velocity is controversial and is the subject of this study. A retrospective review of Risser 3\u20135 AIS patients treated with VBT, and min. 2-year FU was performed. Pre to post-op changes in clinical outcomes were compared using Student\u2019s t-test or the Mann-Whitney test. A total of 49 patients met criteria, age 15.0 \u00b1 1.9 years, FU 32.5 \u00b1 9.1 months. For thoracic (T) major curvatures, T curvature improved from 51.1 \u00b1 6.9\u00b0 to 27.2\u00b0 \u00b1 8.1\u00b0 (p &lt; 0.01) and TL from 37.2\u00b0 \u00b1 10.7\u00b0 to 19.2\u00b0 \u00b1 6.8\u00b0 (p &lt; 0.01). For thoracolumbar (TL) major curvatures, T improved from 37.2\u00b0 \u00b1 10.7\u00b0 to 18.8\u00b0 \u00b1 9.4\u00b0 (p &lt; 0.01) and TL from 49.0\u00b0 \u00b1 6.4\u00b0 to 20.1\u00b0 \u00b1 8.5\u00b0 (p &lt; 0.01). Major curve inclinometer measurements and SRS-22 domains, except activity, improved significantly (p \u2264 0.05). At the latest FU, one (2%) patient required fusion of the T curve and revision of the TL tether due to curve progression in the previously uninstrumented T curve and tether breakage (TB) in the TL. Twenty (41%) patients experienced TB. VBT in AIS patients with limited remaining skeletal growth resulted in satisfactory clinical outcomes at the latest FU.<\/jats:p>","DOI":"10.3390\/jcm11113161","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T04:46:23Z","timestamp":1654145183000},"page":"3161","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Vertebral Body Tethering in 49 Adolescent Patients after Peak Height Velocity for the Treatment of Idiopathic Scoliosis: 2\u20135 Year Follow-Up"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5948-6581","authenticated-orcid":false,"given":"James","family":"Meyers","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Eaker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7281-9758","authenticated-orcid":false,"given":"Theodor","family":"di Pauli von Treuheim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baron","family":"Lonner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.2106\/JBJS.18.00287","article-title":"Anterior spinal growth tethering for skeletally immature patients with scoliosis: A retrospective look two to four years postoperatively","volume":"100","author":"Newton","year":"2018","journal-title":"JBJS"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"E1483","DOI":"10.1097\/BRS.0000000000003643","article-title":"Thoracoscopic Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: Follow-up Curve Behavior According to Sanders Skeletal Maturity Staging","volume":"45","author":"Alanay","year":"2020","journal-title":"Spine"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1007\/s43390-020-00155-9","article-title":"The patient generated index and decision regret in adolescent idiopathic scoliosis","volume":"8","author":"Lonner","year":"2020","journal-title":"Spine Deform."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s43390-020-00216-z","article-title":"What are parents willing to accept? 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