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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 – Lumbar Fusion

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The article is a retrospective comparative study that aimed to compare patient-reported physical activity between two surgical procedures for idiopathic scoliosis: anterior thoracic vertebral body tethering and posterior lumbar spine tethering (ATVBT/PLST) and posterior spinal instrumentation and fusion (PSIF). The study included skeletally immature patients with a thoracic and lumbar curve magnitude of at least 40° who underwent either procedure from 2015-2019. The primary outcome was the rate of returning to sport, and secondary outcomes included the ability to bend and satisfaction with sport performance. The results showed that ATVBT/PLST patients reported faster return to sport, running, and physical education classes compared to PSIF patients. ATVBT/PLST patients also had a lower rate of giving 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, both groups had a high rate of return to the same or higher level of sport participation, with no significant difference observed between the two procedures

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S: 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…

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Global Spine J. 2023 Dec 14:21925682231222887. doi: 10.1177/21925682231222887. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective comparative study.OBJECTIVE: 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 year follow-up.METHODS: Consecutive skeletally immature patients with idiopathic scoliosis and a thoracic,

Global Spine J. 2023 Dec 14:21925682231222887. doi: 10.1177/21925682231222887. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective comparative study.

OBJECTIVE: 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 year follow-up.

METHODS: Consecutive skeletally immature patients with idiopathic scoliosis and a thoracic and lumbar curve magnitude ≥40° 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.

RESULTS: Ten patients underwent ATVBT/PLST and 12 underwent PSIF. ATVBT/PLST patients reported significantly faster return to sport (13.5 weeks vs 27.9 weeks, P = .04), running (13.3 weeks vs 28.8 weeks, P = .02), and PE class (12.6 weeks vs 26.2 weeks, P = .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 “no changes” 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, P = .01). Compared to PSIF patients, ATVBT/PLST patients experienced less main thoracic and thoracolumbar/lumbar curve correction at most recent follow-up (thoracic: 41 ± 19% vs 69 ± 18%, P = .001; thoracolumbar/lumbar: 59 ± 25% vs 78 ± 15%, P = .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, P = .221).

S: 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.

PMID:38097271 | DOI:10.1177/21925682231222887

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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

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Global Spine J. 2023 Dec 14:21925682231222887. doi: 10.1177/21925682231222887. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective comparative study.OBJECTIVE: 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 year follow-up.METHODS: Consecutive skeletally immature patients with idiopathic scoliosis and a thoracic

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