Vertebral Body Stapling for Moderate Juvenile and Early Adolescent Idiopathic Scoliosis: Cautions and Patient Selection Criteria

STUDY DESIGN.Single-surgeon retrospective case series. OBJECTIVE.To validate and further describe clinical and radiographic outcomes of patients undergoing vertebral body stapling (VBS), with the goal of learning if VBS is a safe and effective alternative to bracing for treating moderate idiopathic...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2015-12, Vol.40 (24), p.E1305-E1314
Main Authors: Bumpass, David B, Fuhrhop, Sara K, Schootman, Mario, Smith, June C, Luhmann, Scott J
Format: Article
Language:English
Subjects:
Adolescent
Child
Female
Humans
Male
Postoperative Complications - epidemiology
Radiography
Retrospective Studies
ROC Curve
Scoliosis - diagnostic imaging
Scoliosis - pathology
Scoliosis - surgery
Spinal Fusion - adverse effects
Spinal Fusion - instrumentation
Spinal Fusion - methods
Spine - diagnostic imaging
Spine - pathology
Spine - surgery
Sutures - adverse effects
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Summary:STUDY DESIGN.Single-surgeon retrospective case series. OBJECTIVE.To validate and further describe clinical and radiographic outcomes of patients undergoing vertebral body stapling (VBS), with the goal of learning if VBS is a safe and effective alternative to bracing for treating moderate idiopathic scoliosis (IS) in the growing pediatric patient. SUMMARY OF BACKGROUND DATA.VBS is a growth-modulation technique to control moderate idiopathic scoliosis (IS) while avoiding fusion. Existing studies state successful curve control rates equivalent to bracing, but the majority of reports have come from a single institution. METHODS.All IS patients who underwent VBS by 1 surgeon were included. Indications were brace intolerance and a structural coronal curve of 25° to 40°. Proportional nitinol staples were used in all cases. Pre- and postoperative radiographs, pulmonary function testing, and physical exam measurements were serially recorded. RESULTS.VBS was performed on 35 patients (28 females, 7 males) with mean age 10.5 years (range 7.0–14.6 years). Total of 31 patients (33 stapled curves) completed follow-up. Preoperative Risser grade was 0 in 31 patients, 1 in 1 patient, and 2 in 3 patients. Stapled curves were controlled with
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000001135