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- Talk
- 22/09/2022
- UK
Dual Modality of Vertebral Body Tethering - Anterior Scoliosis Correction Versus Growth Modulation With Mean Follow-Up of Five Years
Description
In this presentation, Shahnawaz Haleem discusses the evolution of scoliosis surgery, emphasizing the shift from traditional fusion surgeries to more modern approaches that aim to preserve spinal mobility. He begins by outlining the goals of scoliosis surgery, which include preventing curve progression, correcting deformities, and minimizing the number of fused vertebral levels. Haleem highlights the challenges associated with spinal surgeries, particularly the loss of range of motion resulting from necessary corrections.
He references the RACER study, which showcased effective growth modulation techniques that have decreased the need for invasive surgeries, such as those for clubfoot. The conversation then shifts to innovative methods like the vertical tether technique and the use of off-label products that have emerged in recent years to facilitate growth modulation.
Haleem presents results from a study involving 20 patients, distinguishing between immature patients (Risser 0-2) and slightly more mature patients (Risser 3+). He contrasts growth modulation techniques with standard anterior spinal correction surgery, discussing outcomes such as Cobb angle changes and patient satisfaction measured by SRS 22 scores, which demonstrated improvements in both groups.
The talk includes detailed patient data, including mean ages, preoperative and postoperative angles, and complication rates. The findings reveal a significant number of patients who avoided fusion surgery thanks to these new techniques. Haleem concludes that the advancements in surgical strategies enable safer and more effective treatment options for scoliosis, leaving the audience with an invitation for questions.