Baker Courtney E, Milbrandt Todd A, Larson A Noelle
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Orthop Clin North Am. 2021 Apr;52(2):137-147. doi: 10.1016/j.ocl.2021.01.003.
Anterior vertebral body tether (AVBT) is a nonfusion surgical procedure for correction of scoliosis in skeletally immature individuals. With US Food and Drug Administration approval in 2019, AVBT technology is spreading and early to midterm reports are being published. Early clinical reports are promising while precise indications, outcomes, complication profiles, and best practices are being established. Patients who are skeletally immature and wish to avoid a fusion surgery may benefit from this procedure. This article highlights the translational science foundation, early to midterm clinical reports, and future directions for this growing technique in pediatric spinal deformity surgery.
椎体前路牵张术（AVBT）是一种用于矫正骨骼未成熟个体脊柱侧弯的非融合手术方法。随着2019年美国食品药品监督管理局的批准，AVBT技术正在推广，且早期至中期报告不断发表。早期临床报告前景良好，同时精确的适应症、疗效、并发症情况及最佳操作方法也在逐步确立。骨骼未成熟且希望避免融合手术的患者可能会从该手术中受益。本文重点介绍了这一在小儿脊柱畸形手术中不断发展的技术的转化科学基础、早期至中期临床报告及未来发展方向。
