Vertebral Body Stapling versus Bracing for Patients with High-Risk Moderate Idiopathic Scoliosis.

Laury Cuddihy, Institute for Spine and Scoliosis, 3100 Princeton Pike, Lawrenceville, NJ
Aina J Danielsson, Sahlgren University Hospital, Gothenburg University, Gothenburg, Sweden
Patrick J Cahill, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA
Amer F Samdani, Shriners Hospitals for Children-Philadelphia, 3551 N Broad Street, Philadelphia, PA
Harsh Grewal, Cooper Medical School at Rowan University, 3 Cooper Plaza, Camden, NJ
John M Richmond, Tri Rivers Surgical Assoc., 9104 Babcock Boulevard, Pittsburgh, PA
M J Mulcahey, Thomas Jefferson University, 901 Walnut Street, Philadelphia, PA
John P Gaughan, Temple University School of Medicine, 3420 N Broad Street, Philadelphia, PA
M Darryl Antonacci, Institute for Spine and Scoliosis, 3100 Princeton Pike, Lawrenceville, NJ
Randal R Betz, Institute for Spine and Scoliosis, 3100 Princeton Pike, Lawrenceville, NJ

Document Type Article

This article has been peer reviewed. It was published in: BioMed Research International.

Volume 2015, 2015, Article number 438452.

The published version is available at DOI: 10.1155/2015/438452

Copyright © 2015 Laury Cuddihy et al.

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. We report a comparison study of vertebral body stapling (VBS) versus a matched bracing cohort for immature patients with moderate (25 to 44°) idiopathic scoliosis (IS). Methods. 42 of 49 consecutive patients (86%) with IS were treated with VBS and followed for a minimum of 2 years. They were compared to 121 braced patients meeting identical inclusion criteria. 52 patients (66 curves) were matched according to age at start of treatment (10.6 years versus 11.1 years, resp. [P = 0.07]) and gender. Results. For thoracic curves 25-34°, VBS had a success rate (defined as curve progression