Early outcomes of spinal growth tethering for idiopathic scoliosis with a novel device: a prospective study with 2 years of follow-up

被引:31
作者
Boudissa, M. [1 ,2 ]
Eid, A. [1 ]
Bourgeois, E. [1 ]
Griffet, J. [1 ]
Courvoisier, A. [1 ]
机构
[1] Grenoble Alpes Univ Hosp, Orthoped Pediat Surg Dept, BP 217, F-38043 Grenoble, France
[2] Grenoble Alpes Univ Hosp, Orthoped & Traumatol Surg Dept, BP 217, F-38043 Grenoble, France
关键词
Adolescent idiopathic scoliosis; Spinal growth tethering; Spinal ligamentoplasty; Novel device; Vertebral body stapling; BRACE;
D O I
10.1007/s00381-017-3367-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Questions/purposes Adolescent idiopathic scoliosis is a 3D spine deformity that worsens during the whole growth. New methods for spinal growth modulation with flexible spinal implants have been described to avoid progression of the deformity during growth spurt. The main limitations are that no specific ancillaries and devices are available, which makes the surgery technically demanding. Methods We have developed a new method of spinal growth tethering using minimal invasive videothoracoscopic approach. Fixation is performed with staples and synthetic ligament on the lateral aspect of vertebral bodies on main curvature convexity. Patients with progressive thoracic idiopathic scoliosis despite the brace treatment were included. The clinical and radiological examinations were compared before and 2 years after surgery. Results Six patients with flexible thoracic curves with a mean age 11.2 +/- 1.2 years and a mean Cobb angle 45 degrees +/- 10 degrees (35-60) were operated. All were skeletally immature. At last follow-up, the Cobb angle was stable. None of the patient underwent fusion. Conclusions The procedure allowed a stabilization of the deformity during growth spurt. Validated devices and further studies with longer term follow-up are needed to confirm the efficiency of this technique. This small cohort of patients is a source of reflection for further medical devices developments. Level of Evidence Level 4 case series comparing to not randomized studies.
引用
收藏
页码:813 / 818
页数:6
相关论文
共 16 条
[1]   Vertebral Body Stapling A Fusionless Treatment Option for a Growing Child With Moderate Idiopathic Scoliosis [J].
Betz, Randal R. ;
Ranade, Ashish ;
Samdani, Amer F. ;
Chafetz, Ross ;
D'Andrea, Linda P. ;
Gaughan, John P. ;
Asghar, Jahangir ;
Grewal, Harsh ;
Mulcahey, Mary Jane .
SPINE, 2010, 35 (02) :169-176
[2]   An innovative technique of vertebral body stapling for the treatment of patients with adolescent idiopathic scoliosis: A feasibility, safety, and utility study [J].
Betz, RR ;
Kim, J ;
D'Andrea, LP ;
Mulcahey, MJ ;
Balsara, RK ;
Clements, DH .
SPINE, 2003, 28 (20) :S255-S265
[3]   Progression risk of idiopathic juvenile scoliosis during pubertal growth [J].
Charles, Yann Philippe ;
Daures, Jean-Pierre ;
de Rosa, Vincenzo ;
Dimeglio, Alain .
SPINE, 2006, 31 (17) :1933-1942
[4]   The future of academic innovation in the field of medical devices: is innovation still possible in orthopedics? [J].
Courvoisier, Aurelien .
EXPERT REVIEW OF MEDICAL DEVICES, 2016, 13 (09) :807-813
[5]   Growth tethering devices for idiopathic scoliosis [J].
Courvoisier, Aurelien ;
Eid, Ahmad ;
Bourgeois, Emeline ;
Griffet, Jacques .
EXPERT REVIEW OF MEDICAL DEVICES, 2015, 12 (04) :449-456
[6]   3D analysis of brace treatment in idiopathic scoliosis [J].
Courvoisier, Aurelien ;
Drevelle, Xavier ;
Vialle, Raphael ;
Dubousset, Jean ;
Skalli, Wafa .
EUROPEAN SPINE JOURNAL, 2013, 22 (11) :2449-2455
[7]   Growth Modulation by Means of Anterior Tethering Resulting in Progressive Correction of Juvenile Idiopathic Scoliosis A Case Report [J].
Crawford, Charles H., III ;
Lenke, Lawrence G. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (01) :202-209
[8]  
Green DW, 2003, SPINE, V28, P2078
[9]   Anterior endoscopic discectomy and fusion for adolescent idiopathic scoliosis [J].
Lenke, LG .
SPINE, 2003, 28 (15) :S36-S43
[10]   EFFECTIVENESS OF TREATMENT WITH A BRACE IN GIRLS WHO HAVE ADOLESCENT IDIOPATHIC SCOLIOSIS - A PROSPECTIVE, CONTROLLED-STUDY BASED ON DATA FROM THE BRACE STUDY OF THE SCOLIOSIS-RESEARCH-SOCIETY [J].
NACHEMSON, AL ;
PETERSON, LE ;
BRADFORD, DS ;
BURWELL, RG ;
DUHAIME, M ;
EDGAR, MA ;
EPPIG, MM ;
GARDNER, ADH ;
KEHL, DK ;
LIDSTROM, J ;
LONSTEIN, JE ;
MEEHAN, PL ;
MORRISSY, RT ;
NASH, CL ;
NORDWALL, A ;
OGILVIE, J ;
POITRAS, B ;
WEBB, JK ;
WILLNER, SV ;
WINTER, RB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (06) :815-822