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BioMed Research International
Volume 2015, Article ID 438452, 7 pages
http://dx.doi.org/10.1155/2015/438452
Clinical Study

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

1Institute for Spine & Scoliosis, 3100 Princeton Pike, Lawrenceville, NJ 08648, USA
2Sahlgren University Hospital, Gothenburg University, 413 45 Gothenburg, Sweden
3Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
4Shriners Hospitals for Children-Philadelphia, 3551 N Broad Street, Philadelphia, PA 19140, USA
5Cooper Medical School at Rowan University, 3 Cooper Plaza, Suite 411, Camden, NJ 08103, USA
6Tri Rivers Surgical Associates, 9104 Babcock Boulevard, Suite 2120, Pittsburgh, PA 15237, USA
7Thomas Jefferson University, 901 Walnut Street, 6th Floor, Philadelphia, PA 19107, USA
8Temple University School of Medicine, 3420 N Broad Street, Philadelphia, PA 19104, USA

Received 6 June 2015; Revised 23 September 2015; Accepted 12 October 2015

Academic Editor: Jau-Ching Wu

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. []) and gender. Results. For thoracic curves 25–34°, VBS had a success rate (defined as curve progression <10°) of 81% versus 61% for bracing . In thoracic curves 35–44°, VBS and bracing both had a poor success rate. For lumbar curves, success rates were similar in both groups for curves measuring 25–34°. Conclusion. In this comparison of two cohorts of patients with high-risk (Risser 0-1) moderate IS (25–44°), in smaller thoracic curves (25–34°) VBS provided better results as a clinical trend as compared to bracing. VBS was found not to be effective for thoracic curves ≥35°. For lumbar curves measuring 25–34°, results appear to be similar for both VBS and bracing, at 80% success.