Abstract：
OBJECTIVE: Adolescent Idiopathic Scoliosis (AIS) remains the most common type of pediatric scoliosis, mostly affecting children between ages 10 and 18. Vertebral body tethering (VBT) offers a non-fusion alternative to the gold standard spinal fusion that permits flexibility and some growth within instrumented segments. This article will serve as a comprehensive literature review of the current state-of-the-art of VBT in relation to radiographic and clinical outcomes, complications, and the learning curve associated with the procedure.
METHODS: A systematic literature review was conducted on PubMed, Scopus, and Web of Science from April 2002 to December 2022. Studies were included if they discussed VBT and consisted of clinical studies in which a minimum 2-years follow-up was reported, and series that included anesthetic considerations, learning curve, and early operative morbidity.
RESULTS: Forty-nine studies spanning the period from April 2002 to December 2022 were reviewed.
CONCLUSIONS: This article illustrates the potential benefits and challenges of the surgical treatment of AIS with VBT and can serve as a basis for the further study and refinement of this technique ideally as a living document that will be updated regularly.
METHODS: A systematic literature review was conducted on PubMed, Scopus, and Web of Science from April 2002 to December 2022. Studies were included if they discussed VBT and consisted of clinical studies in which a minimum 2-years follow-up was reported, and series that included anesthetic considerations, learning curve, and early operative morbidity.
RESULTS: Forty-nine studies spanning the period from April 2002 to December 2022 were reviewed.
CONCLUSIONS: This article illustrates the potential benefits and challenges of the surgical treatment of AIS with VBT and can serve as a basis for the further study and refinement of this technique ideally as a living document that will be updated regularly.
摘要：
目的：青少年特发性脊柱侧凸（AIS）仍然是最常见的小儿脊柱侧凸类型，主要影响10至18岁的儿童。椎体系绳（VBT）提供了黄金标准脊柱融合的非融合替代品，允许在器械节段内的灵活性和一些增长。本文将作为一个全面的文献综述，对目前最先进的VBT相关的影像学和临床结果，并发症,以及与该过程相关的学习曲线。
方法：对PubMed进行了系统的文献综述，Scopus,和WebofScience从2002年4月到2022年12月。如果他们讨论了VBT，并且包括至少2年随访的临床研究，以及包括麻醉考虑在内的系列，学习曲线,和早期手术发病率。
结果：回顾了2002年4月至2022年12月期间的49项研究。
结论：本文说明了用VBT手术治疗AIS的潜在益处和挑战，并可以作为进一步研究和完善该技术的基础，理想情况下作为将定期更新的活文件。
方法：对PubMed进行了系统的文献综述，Scopus,和WebofScience从2002年4月到2022年12月。如果他们讨论了VBT，并且包括至少2年随访的临床研究，以及包括麻醉考虑在内的系列，学习曲线,和早期手术发病率。
结果：回顾了2002年4月至2022年12月期间的49项研究。
结论：本文说明了用VBT手术治疗AIS的潜在益处和挑战，并可以作为进一步研究和完善该技术的基础，理想情况下作为将定期更新的活文件。
