Early operative morbidity in 184 cases of anterior vertebral body tethering

Abstract Fusion is the current standard of care for AIS. Anterior vertebral body tethering (AVBT) is a motion-sparing alternative gaining interest. As a novel procedure, there is a paucity of literature on safety. Here, we report 90-day complication rates in 184 patients who underwent AVBT by a sing...

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Autores principales:	James Meyers, Lily Eaker, Theodor Di Pauli von Treuheim, Sergei Dolgovpolov, Baron Lonner
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bd5381d171014ce4ae2db2e88ca1a405
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spelling	oai:doaj.org-article:bd5381d171014ce4ae2db2e88ca1a4052021-12-05T12:16:06ZEarly operative morbidity in 184 cases of anterior vertebral body tethering10.1038/s41598-021-02358-02045-2322https://doaj.org/article/bd5381d171014ce4ae2db2e88ca1a4052021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02358-0https://doaj.org/toc/2045-2322Abstract Fusion is the current standard of care for AIS. Anterior vertebral body tethering (AVBT) is a motion-sparing alternative gaining interest. As a novel procedure, there is a paucity of literature on safety. Here, we report 90-day complication rates in 184 patients who underwent AVBT by a single surgeon. Patients were retrospectively reviewed. Approaches included 71 thoracic, 45 thoracolumbar, 68 double. Major complications were those requiring readmittance or reoperation, prolonged use of invasive materials such as chest tubes, or resulted in spinal cord or nerve root injury. Minor complications resolved without invasive intervention. Mean operative time and blood loss were 186.5 ± 60.3 min and 167.2 ± 105.0 ml, respectively. No patient required allogenic blood transfusion. 6 patients experienced major (3.3%), and 6 had minor complications (3.3%). Major complications included 3 chylothoracies, 2 hemothoracies, and 1 lumbar radiculopathy secondary to screw placement requiring re-operation. Minor complications included 1 patient with respiratory distress requiring supplementary oxygen, 1 superficial wound infection, 2 cases of prolonged nausea, and 1 Raynaud phenomenon. In 184 patients who underwent AVBT for AIS, major and minor complication rates were both 3.3%.James MeyersLily EakerTheodor Di Pauli von TreuheimSergei DolgovpolovBaron LonnerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q James Meyers Lily Eaker Theodor Di Pauli von Treuheim Sergei Dolgovpolov Baron Lonner Early operative morbidity in 184 cases of anterior vertebral body tethering
description	Abstract Fusion is the current standard of care for AIS. Anterior vertebral body tethering (AVBT) is a motion-sparing alternative gaining interest. As a novel procedure, there is a paucity of literature on safety. Here, we report 90-day complication rates in 184 patients who underwent AVBT by a single surgeon. Patients were retrospectively reviewed. Approaches included 71 thoracic, 45 thoracolumbar, 68 double. Major complications were those requiring readmittance or reoperation, prolonged use of invasive materials such as chest tubes, or resulted in spinal cord or nerve root injury. Minor complications resolved without invasive intervention. Mean operative time and blood loss were 186.5 ± 60.3 min and 167.2 ± 105.0 ml, respectively. No patient required allogenic blood transfusion. 6 patients experienced major (3.3%), and 6 had minor complications (3.3%). Major complications included 3 chylothoracies, 2 hemothoracies, and 1 lumbar radiculopathy secondary to screw placement requiring re-operation. Minor complications included 1 patient with respiratory distress requiring supplementary oxygen, 1 superficial wound infection, 2 cases of prolonged nausea, and 1 Raynaud phenomenon. In 184 patients who underwent AVBT for AIS, major and minor complication rates were both 3.3%.
format	article
author	James Meyers Lily Eaker Theodor Di Pauli von Treuheim Sergei Dolgovpolov Baron Lonner
author_facet	James Meyers Lily Eaker Theodor Di Pauli von Treuheim Sergei Dolgovpolov Baron Lonner
author_sort	James Meyers
title	Early operative morbidity in 184 cases of anterior vertebral body tethering
title_short	Early operative morbidity in 184 cases of anterior vertebral body tethering
title_full	Early operative morbidity in 184 cases of anterior vertebral body tethering
title_fullStr	Early operative morbidity in 184 cases of anterior vertebral body tethering
title_full_unstemmed	Early operative morbidity in 184 cases of anterior vertebral body tethering
title_sort	early operative morbidity in 184 cases of anterior vertebral body tethering
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bd5381d171014ce4ae2db2e88ca1a405
work_keys_str_mv	AT jamesmeyers earlyoperativemorbidityin184casesofanteriorvertebralbodytethering AT lilyeaker earlyoperativemorbidityin184casesofanteriorvertebralbodytethering AT theodordipaulivontreuheim earlyoperativemorbidityin184casesofanteriorvertebralbodytethering AT sergeidolgovpolov earlyoperativemorbidityin184casesofanteriorvertebralbodytethering AT baronlonner earlyoperativemorbidityin184casesofanteriorvertebralbodytethering
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Early operative morbidity in 184 cases of anterior vertebral body tethering

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