Comparative meta-analysis of vertebral body tethering and posterior spinal fusion in patients with idiopathic scoliosis. Evaluation of radiographic, perioperative, clinical, patient-reported outcomes, and complication rates.

ABSTRACT:

Background

Although posterior spinal fusion (PSF) is considered the gold standard for the treatment of idiopathic scoliosis, it has been associated with several limitations. Vertebral body tethering (VBT) offers a motion-preserving alternative, with growing evidence supporting its clinical efficacy.

Methods

A comprehensive search of PubMed, Cochrane, Web of Science and Scopus databases was performed to identify comparative studies between VBT and PSF in patients with idiopathic scoliosis. Primary outcomes included major curve correction and postoperative major and minor curve angles. Secondary outcomes included radiographic parameters (shoulder height difference, spinal height gain, coronal balance, thoracic kyphosis, lumbar lordosis), perioperative metrics [length of stay (

SUBMITTER: Stamiris S 

PROVIDER: S-EPMC12402045 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature