Szapary Hannah J, Greene Nattaly, Paschos Nikolaos K, Grottkau Brian E, Braun John T
Harvard Medical School, Boston, Massachusetts, U.S.A.
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.
Arthrosc Tech. 2021 Feb 22;10(3):e887-e895. doi: 10.1016/j.eats.2020.11.003. eCollection 2021 Mar.
Anterior vertebral tethering (AVT) is a relatively recent alternative to posterior spinal fusion for progressive curves in growing patients with idiopathic scoliosis. AVT uses a thoracoscopic approach to minimize trauma to the thoracic wall and chest cavity. There are limited technical descriptions of this method. Patients benefit from proficiency and reproducibility to allow for appropriate spinal curve correction over time. This Technical Note outlines the steps of the thoracoscopic approach to AVT and reviews the current indications for AVT over posterior spinal fusion, as well as the most recently published clinical outcomes of this procedure.
前路椎体拴系术（AVT）是一种相对较新的治疗方法，用于替代后路脊柱融合术，治疗生长发育中的特发性脊柱侧弯患者的进展性脊柱侧弯。AVT采用胸腔镜手术方法，以尽量减少对胸壁和胸腔的创伤。关于这种方法的技术描述有限。患者受益于熟练的操作和可重复性，以便随着时间的推移进行适当的脊柱侧弯矫正。本技术说明概述了AVT胸腔镜手术方法的步骤，并回顾了AVT相对于后路脊柱融合术的当前适应症，以及该手术最近公布的临床结果。
