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

Figure 1

(a and b) This is an 8-year-old girl who presented with a double major curve (right thoracic: 34°, left thoracolumbar: 32°). The lateral X-ray shows a normal sagittal contour, with kyphosis from T5 to T12 of 34°. (c and d) Following VBS, the first erect PA and lateral films show the staples to be intact. There is excellent correction of both curves, with the thoracic curve correcting to 19° and the lumbar to 8°. (e and f) Films from 2-1/2 years postoperatively show successful maintenance of the thoracic curve (now measuring 24°) and the lumbar curve (now measuring 20°). The lateral film from 2 years postoperatively shows a 40° kyphosis from T5 to T12.

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