Flexible posterior vertebral tethering for the management of Scheuermann's kyphosis: correction by using growth modulation-clinical and radiographic outcomes of the first 10 patients with at least 3 years of follow-up

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dc.authorscopusidTuna Pehlivanoğlu / 55345346900
dc.authorwosidTuna Pehlivanoğlu / IXW-8338-2023
dc.contributor.authorAydoğan, Mehmet
dc.contributor.authorPehlivanoğlu, Tuna
dc.contributor.authorErdağ, Yiğit
dc.contributor.authorAktürk, Umut Doğu
dc.contributor.authorAkar, Abdulhalim
dc.date.accessioned2025-04-18T10:18:50Z
dc.date.available2025-04-18T10:18:50Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, İSÜ Hastaneleri
dc.description.abstractPurposeThe present prospective cohort study was intended to present the minimum 3 years' results of flexible posterior vertebral tethering (PVT) applied to 10 skeletally immature patients with SK to question, if it could be an alternative to fusion.MethodsTen skeletally immature patients with radiographically confirmed SK, who had flexible (minimum 35%) kyphotic curves (T2-T12), were included. A decision to proceed with PVT was based on curve progression within the brace, and/or persistent pain, and/or unacceptable cosmetic concerns of the patient/caregivers, and/or non-compliance within the brace.ResultsPatients had an average age of 13.1 (range 11-15) and an average follow-up duration of 47.6 months (range 36-60). Posterior vertebral tethering (PVT) was undertaken to all patients by utilizing Wiltse approach and placing monoaxial pedicle screws intermittently. At the final follow-up: mean pre-operative thoracic kyphosis and lumbar lordosis improved from 73.6 degrees-45.7 degrees to 34.7 degrees-32.1 degrees. Mean sagittal vertical axis, vertebral wedge angle and total SRS-22 scores improved significantly. A fulcrum lateral X-ray obtained at the latest follow-up, showed that the tethered levels remained mobile.ConclusionThis study, for the first time in the literature, concluded, that as a result of growth modulation applied to skeletally immature patients with SK, flexible PVT was detected to yield gradual correction of the thoracic kyphosis by reverting the pathological vertebral wedging process, while keeping the mobility of the tethered segments in addition to successful clinical-functional results. The successful results of the present study answered the role of the PVT as a viable alternative to fusion in skeletally immature patients with SK.Level of evidenceIV.
dc.identifier.citationAydogan, M., Pehlivanoglu, T., Erdag, Y., Akturk, U. D., & Akar, A. (2024). Flexible posterior vertebral tethering for the management of Scheuermann’s kyphosis: correction by using growth modulation—clinical and radiographic outcomes of the first 10 patients with at least 3 years of follow-up. European Spine Journal, 1-11.
dc.identifier.doi10.1007/s00586-024-08297-4
dc.identifier.endpage2687
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.issue7
dc.identifier.pmid38740612
dc.identifier.scopus2-s2.0-85192856529
dc.identifier.scopusqualityQ1
dc.identifier.startpage2677
dc.identifier.urihttp://dx.doi.org/10.1007/s00586-024-08297-4
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7022
dc.identifier.volume33
dc.identifier.wosWOS:001220925100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPehlivanoğlu, Tuna
dc.institutionauthoridTuna Pehlivanoğlu / 0000-0001-8886-7538
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Spine Journal
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectScheuermann's Kyphosis (SK)
dc.subjectVertebral Body Tethering (VBT)
dc.subjectPosterior vertebral tethering (PVT)
dc.subjectGrowth modulation
dc.subjectFusionless treatment
dc.subjectMotion preservation
dc.subjectCurve correction
dc.subjectFunctional outcome
dc.titleFlexible posterior vertebral tethering for the management of Scheuermann's kyphosis: correction by using growth modulation-clinical and radiographic outcomes of the first 10 patients with at least 3 years of follow-up
dc.typeArticle

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