Current Status of Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: An Umbrella Review.

IF 1.7 Q2 ORTHOPEDICS
Orthopedic Research and Reviews Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI:10.2147/ORR.S502053
Kenney Ki Lee Lau, Kenny Yat Hong Kwan, Teenie Kwan Tung Wong, Jason Pui Yin Cheung
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引用次数: 0

Abstract

Background: Adolescent idiopathic scoliosis (AIS) is a prevalent spinal deformity among teenagers worldwide. Vertebral body tethering (VBT) is an innovative, minimally invasive technique developed to address spinal curvature by modulating vertebral growth. However, the existing body of evidence regarding the effectiveness and safety of VBT in treating AIS is fragmented and requires thorough consolidation and critical assessment.

Methods: Six databases were thoroughly examined, yielding 11 relevant systematic reviews and meta-analyses. The methodological quality of the included studies was evaluated using the Joanna Briggs Institute's critical appraisal checklist. The key findings were encapsulated using a narrative synthesis approach.

Results: The reviews indicated notable improvements in coronal plane radiographic parameters, transverse plane clinical outcomes, and health-related quality of life scores following VBT. Nevertheless, the complication rates associated warrant attention. Additionally, the variability in methodological quality across the included reviews underscores the necessity for more robust and systematic investigations in this domain.

Conclusion: This umbrella review revealed promising results for VBT as a treatment option for AIS. However, further research is needed to address knowledge gaps and limitations, focusing on long-term outcomes, patient selection, standardized techniques, and comparison with traditional treatments.

青少年特发性脊柱侧凸的椎体系带治疗现状:综述。
背景:青少年特发性脊柱侧凸(AIS)是全球青少年中普遍存在的脊柱畸形。椎体拴系(VBT)是一种创新的微创技术,通过调节椎体生长来解决脊柱弯曲问题。然而,关于椎体拴系治疗 AIS 的有效性和安全性的现有证据并不完整,需要进行彻底的整合和批判性评估:方法:对六个数据库进行了彻底检查,共获得 11 篇相关的系统综述和荟萃分析。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的批判性评估清单对纳入研究的方法质量进行了评估。结果:结果:综述显示,VBT术后冠状面放射学参数、横向面临床结果和健康相关生活质量评分均有显著改善。然而,相关的并发症发生率值得关注。此外,所纳入的综述在方法学质量上存在差异,这突出表明有必要在这一领域开展更有力、更系统的研究:本综述揭示了将 VBT 作为 AIS 治疗方案的可喜成果。然而,还需要进一步的研究来弥补知识差距和局限性,重点关注长期疗效、患者选择、标准化技术以及与传统治疗方法的比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthopedic Research and Reviews
Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
2.80
自引率
0.00%
发文量
51
审稿时长
16 weeks
期刊介绍: Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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