title: Growth tethering devices for idiopathic scoliosis.
abstract: Adolescent idiopathic scoliosis is a 3D spine deformity that worsens during the whole growth. The treatments available are bracing during the whole growth to avoid progression of the deformity and surgical fusion of the spine at skeletal maturity for the most severe curves. Recent advances in flexible spinal implants have given rise to new expectations in the management of progressive scoliosis with growth modulation without fusion. For the first time, treatment allows us to expect a correction of progressive curves without fusion. This review discusses the recent developments in the field of spinal growth modulation techniques and discusses the pros and cons of the medical devices used in this indication.
authors.affiliation: Pediatric Orthopedic Department, Grenoble University Hospital, Grenoble Alpes University, Grenoble, France.
authors.forename: Aurélien
authors.initials: A
authors.lastname: Courvoisier
authors.forename: Ahmad
authors.initials: A
authors.lastname: Eid
authors.forename: Emeline
authors.initials: E
authors.lastname: Bourgeois
authors.forename: Jacques
authors.initials: J
authors.lastname: Griffet
mesh_terms: D000293:Adolescent; D001915:Braces; D006801:Humans; D019736:Prostheses and Implants; D012600:Scoliosis / Q000628:therapy*
keywords: adolescent idiopathic scoliosis; brace; flexible tether; growth modulation; non fusion; spine deformity; vertebral body stapling