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Related Experiment Video

Updated: Dec 28, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Spinal growth tethering: indications and limits.

Peter O Newton1

  • 1Rady Children's Specialist of San Diego, San Diego, CA, USA.

Annals of Translational Medicine
|February 15, 2020
PubMed
Summary

Anterolateral tethering offers a less invasive alternative to spinal fusion for progressive spinal deformities in children. While early results are promising, long-term outcomes require further investigation.

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Pseudoarthrosis After Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis: A Multicenter Analysis of Revision Strategies and Outcomes.

Spine·2026
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Effectiveness of suspension bending cast for early-onset scoliosis.

Spine deformity·2026
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Prospective Vertebral Body Tethering Data: Commentary on an article by A. Noelle Larson, MD, et al.: "Vertebral Body Tethering in Skeletally Immature Patients. Results of a Prospective U.S. FDA Investigational Device Exemption Study".

The Journal of bone and joint surgery. American volume·2026
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Transverse-plane descriptors and modifiers of the SRS-Lenke-Aubin 3D classification provide complementary and clinically informative 3D features beyond 2D assessment in Lenke 1 AIS curves.

Spine deformity·2026
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Distribution of curve flexibility in AIS: a multicenter study of 5,267 patients.

Spine deformity·2026
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Correction: The SRS-Lenke-Aubin 3D classification of adolescent idiopathic scoliosis.

Spine deformity·2026

Area of Science:

  • Orthopedics
  • Spinal Surgery
  • Pediatric Deformity Correction

Background:

  • Traditional spinal fusion for progressive deformities ( >45-50 degrees) in children sacrifices spinal motion and growth.
  • Idiopathic scoliosis involves disproportionate anterior vs. posterior spinal column length, leading to coronal and axial plane deformities.
  • The Hueter-Volkmann principle suggests altering spinal growth via compression can correct deformities.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of anterolateral tethering as a growth-preserving surgical technique for pediatric spinal deformities.
  • To explore the potential of modulating spinal growth using flexible tethers to achieve spinal realignment.

Main Methods:

  • Anterolateral tethering performed via a thoracoscopic spinal approach.
Keywords:
Spinal growth modulationanterolateral tetherfusionless scoliosis treatmentscoliosis treatmentvertebral growth modulation

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  • Application of a flexible tether to the convex side of the scoliotic vertebral column.
  • Monitoring of spinal growth modulation and deformity correction in growing patients.

    • Main Results:

    • Early clinical outcomes of anterolateral tethering are encouraging, suggesting potential for spinal realignment.
    • Preservation of disc health and motion during the growth period observed in experimental studies.
    • Mixed results reported at 3-4 years post-procedure, indicating a need for further long-term evaluation.

    Conclusions:

    • Anterolateral tethering represents a promising, less invasive approach compared to spinal fusion for pediatric spinal deformities.
    • Continued research and technological advancements are crucial for optimizing outcomes and long-term success.
    • Further investigation is needed to fully understand the long-term efficacy and patient benefits of this technique.