Bewegungserhaltende operative Korrektur der idiopathischen Adoleszentenskoliose – Evidenz

Zusammenfassung

Mit dem Anterior Vertebral Body Tethering (AVBT) steht eine Technik zur Verfügung, welche für die idiopathische Adoleszentenskoliose unter definierten Voraussetzungen eine Wachstumslenkung und damit Korrektur bei weitestgehend Funktionserhalt verspricht. Evidenz liegt im Moment nur für das thorakale AVBT entsprechend den Evidenzgraden III und IV vor. Für lumbale und thorakolumbale Kurven ist auf der Grundlage der zur Verfügung stehenden Literatur in Bezug auf eine mögliche Evidenz keine Aussage möglich. Für einen Einsatz nach Wachstumsabschluss findet sich in der Literatur keine Unterstützung. In Diskussion verbleibt der optimale Operationszeitpunkt in Bezug auf die Skelettreife. Die hohe in der Literatur dokumentierte Zahl an Komplikationen und Nachoperationen erfordert eine weitere Evaluation und Optimierung des Verfahrens.

Abstract

Anterior body tethering (AVBT) is a surgical technique, which allows growths modulation and correction while maintaining mobility of the spine in selected cases of idiopathic adolescent scoliosis. Evidence is available now only for thoracic AVBT according to grade III and IV. The available literature does not allow any statement regarding evidence in case of thoracolumbar and lumbar curves. In addition, the application of AVBT after growth completion is not supported. The optimal time for surgery with respect to skeletal maturity is still under discussion. The high number of complications and necessary revision surgeries reported in the literature requires further evaluation and optimization of this procedure

Schlüsselwörter

Idiopathische Adoleszentenskoliose - Bewegungserhaltende Techniken - Evidenz

Keywords

Idiopathic adolescent scoliosis - motion preservation techniques - evidence

• Literatur

• 1 Danielsson AJ, Hasserius R, Ohlin A. et al. A prospective study of brace treatment versus observation alone in adolescent idiopathic scoliosis: a follow-up mean of 16 years after maturity. Spine 2007; 32: 2198-2207
• 2 Hasler CC. Early-onset scoliosis: contemporary decision-making and treatment options. J Pediatr Orthop 2018; 38: S13-S20
• 3 Helenius IJ. Standard and magnetically controlled rods for the treatment of early onset scoliosis . Ann Transl Med 2020; 8: 26
• 4 Roaf R. The Treatment of progressive scoliosis by unilateral growth-arrest. J Bone Joint Surg Br 1963; 45: 637-651
• 5 Betz RR, Kim J, D’Andrea LP. et al. An innovation technique of vertebral body stapling for the treatment of patients with adolescent idiopathic scoliosis: a feasibility, safety, and utility study. Spine 2003; 28: S255-S365
• 6 Guille JT, D’Andrea LP, Betz RR. Fusionless treatment of scoliosis. Orthop Clin North Am 2007; 38: 541-545
• 7 Bumpass DB, Furhop SK, Schootmann M. et al. vertebral body stapling for moderate juvenile and early adolescent idiopathic scoliosis: cautions and patient selection criteria. Spine 2015; 40: E1305-1314
• 8 Courvoisier A, Eid A, Bourgeois E. et al. Growth tethering devices for idiopathic scoliosis. Expert Rev Med Devices 2015; 12: 449-456
• 9 Lavelle WF, Samdani AF, Cahill PJ. et al. Clinical outcomes of nitinol staples for preventing curve progression in idiopathic scoliosis. J Pediatr Orthop 2011; 31: S107-S113
• 10 Newton PO. Spinal growth tethering: indications and limits. Ann Transl Med 2020; 8: 1-17
• 11 O’leary PZ, Sturm PF, Hammerberg KW. et al. Convex hemiepiphysoidesis: the limits of vertebral stapling. Spine 2011; 36: 1579-1583
• 12 Trupia E, Hsu AC, Mueller JD. et al. Treatment of idiopathic scoliosis with vertebral body stapling. Spine Deform 2019; 7: 720-728
• 13 Baker CE, Milbrandt TA, Larson AN. Anterior vertebral body tethering for adolescent idiopathic scoliosis: early results and future directions. Orthop Clin Nort Am 2021; 52: 137-147
• 14 Crawford 3rd CH, Lenke LG. Groth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report. J Bone Joint Surg Am 2010; 92: 202-209
• 15 Newton PO, Kluck DG, Saito W. et al. Anterior spinal growth tethering for skeletally immature patients with scoliosis. J Bone Joint Surg Am 2018; 100: 1691-1697
• 16 Newton PO, Bartley CE, Bastrom TP. et al. Anterior spinal growth modulation in skelettaly immature patients with idiopathic scoliosis: a comparison with posterior spinal fusion at 2 to 5 years postoperatively. J Bone Joint Surg Am 2020; 102: 769-777
• 17 Shin M, Arguelles GR, Cahill PJ. et al. Complications, reoperations, and mid-term outcomes following anterior vertebral body tethering versus posterior spinal fusion: a meta-analysis. JBJS open access 2021; 6: e21.00002
• 18 Wong HK, Ruiz JNM, Newton PO. et al. Non-fusion surgical correction of thoracic idiopathic scoliosis using a novel, braided vertebral body tethering device. JBJS Open Access 2019; 4: e0026
• 19 Pehlivanoglu T, Oltulu I, Erdag Y. et al. Double-sided vertebral body tethering of double adolescent idiopathic scoliosis curves: radiograph outcomes of the first 13 patients with 2 years follow-up. Eur Spine J 2021; 30: 1896-1904
• 20 Jain V, Lykissas M, Trobisch P. et al. Surgical aspects of spinal growth modulation in scoliosis correction. Instr Course Lect 2014; 63: 335-344
• 21 Miyanji F, Pawelek J, Nesto LA. et al. Safety and efficacy of anterior vertebral body tethering in the treatment of idiopathic scoliosis. Bone Joint J 2020; 102-B: 1703-1708
• 22 Samdani AF, Ames RJ, Kimball JS. et al. Anterior vertebral body tethering for immature adolescent idiopathic scoliosis. One-year results on the first 32 patients. Eur Spine J 2015; 24: 1533-1539
• 23 Abdullah A, Parent S, Miyanji F. et al. Risk of early complication following anterior vertebral body tethering for idiopathic scoliosis. Spine Deform 2021; 9: 1419-1431
• 24 Rushton PRP, Nasto L, Parent S. et al. Anterior vertebral body tethering (AVBT) for treatment of idiopathic scoliosis in the skeletally immature; results of 112 cases. Spine (Phila Pa 1976) 2021;
• 25 Takahashi Y, Saito W, Yaszay B. et al. Rate of scoliosis correction after anterior spinal growth tethering for idiopathic scoliosis. J Bone Joint Surg Am 2021;
• 26 Samdani AF, Pahys JM, Ames RJ. et al. Prospective follow-up report on anterior vertebral body tethering for idiopathic scoliosis: interim results from an FDA IDE study. J Bone Joint Surg Am 2021; 29
• 27 Baroncini A, Trobisch PD, Birkenmaier C. et al. Radiograph results after vertebral body tethering. Z Orthop Unfall 2021;
• 28 Baker CE, Kiebzak GM, Neal KM. Anterior body tethering shows mixed results at 2-year follow-up. Spine Deform 2021; 9: 481-489
• 29 Baroncini A, Rodriguez L, Verma K. et al. Feasibility of single-staged bilateral anterior scoliosis correction in growing patients. Global Spine J 2021; 11: 76-80
• 30 Baroncini A, Trobisch PD, Migliorini F. Learning curve for vertebral body tethering: analysis on 90 consecutive patients. Spine Deform 2021; 9: 141-147
• 31 Shen J, Nahle IS, Alzakri A. et al. The clinical significance of tether breakages in anterior vertebral body growth modulation: a two-year post-operative follow-up. Stud Health Technol Inform 2021; 28: 280-308
• 32 Pehlivanoglu T, Oltulu I, Erdag Y. et al. Comparison of clinical and functional outcomes of vertebral body tethering to posterior spinal fusion patients with adolescent idiopathic scoliosis and evaluation of quality of life: preliminary results. Spine Deform 2021; 9: 1175-1182
• 33 Buyuk AF, Milbrandt TA, Mathew SE. et al. Measurable thoracic motion remains at 1year following anterior vertebral body tethering, with sagittal greater than coronal motion. J Bone Joint Surg Am 2021;
• 34 Qiu C, Talwar D, Gordon J. et al. Patient-reported outcomes are equivalent in patients who receive vertebral body tethering versus posterior spinal fusion in adolescent idiopathic scoliosis. Orthopedics 2021; 44: 24-28
• 35 Ruf M, Drumm J, Jeszenszky D. Anterior instrumented fusion for adolescent idiopathic scoliosis. Ann Transl Med 2020; 8: 31