Klinik für Orthopädie, Uniklinik RWTH Aachen, Germany.
Wirbelsäulenchirurgie, Artemed SE, Simmerath, Germany.
Z Orthop Unfall. 2022 Aug;160(4):387-392. doi: 10.1055/a-1387-8334. Epub 2021 Apr 19.
Vertebral body tethering (VBT), otherwise known as fusion-less anterior scoliosis correction (ASC), is a new and increasingly interesting therapeutic option for selected scoliosis patients. The available data on this surgical technique are still limited and guidelines on patient selection or surgical timing are not available. The aim of this study was to conduct a systematic review of the available literature on VBT. The analysis was performed in accordance with the PRISMA Statement. Nine studies with data from 175 patients were available. On average, 7.3 vertebrae were instrumented. Surgical time was 230 min and the estimated blood loss 153 ml. The mean correction on the coronal plane was 52%, and there was no significant change in sagittal parameters. The revision rate was 18.9%. The methodological quality assessment with the Coleman score gave unsatisfactory results, so that available data are not sufficient to propose general indications or guidelines to perform VBT.
脊柱体拴系术（VBT），也称为无融合前路脊柱侧凸矫正术（ASC），是一种针对特定脊柱侧凸患者的新的、越来越有吸引力的治疗选择。关于该手术技术的现有数据仍然有限，并且尚无关于患者选择或手术时机的指南。本研究旨在对 VBT 的现有文献进行系统回顾。分析按照 PRISMA 声明进行。有 9 项研究提供了 175 名患者的数据。平均植入 7.3 个椎体。手术时间为 230 分钟，估计失血量为 153 毫升。冠状面的平均矫正率为 52%，矢状面参数没有明显变化。翻修率为 18.9%。采用 Coleman 评分进行的方法学质量评估结果不佳，因此现有数据不足以提出一般适应证或指南来进行 VBT。
