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May 20, 2024
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VIDEO: Use of novel device may avoid spine fusion for adolescent idiopathic scoliosis

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Key takeaways:

  • A novel posterior distraction device was effective in avoiding spine fusion surgery for patients at 2-year follow-up.
  • The device was durable at 2-year follow-up and significantly corrected Cobb angles.

In this video, Kevin M. Neal, MD, discussed a novel posterior dynamic distraction device that may be effective for treatment of adolescent idiopathic scoliosis.

“The posterior dynamic distraction device corrects Cobb angles substantially and is durable at 2-year follow-up for the majority of patients, with revision rates that are similar to those that have been reported for other non-fusion scoliosis procedures,” Neal said.

After the novel device received a humanitarian use device approval by the FDA in 2019, Neal and colleagues performed a multicenter prospective study that enrolled patients between June 2020 and April 2023.

“Our study suggests that posterior dynamic distraction is effective at avoiding surgery for spine fusion at 2-year follow-up for most patients with idiopathic scoliosis and flexible primary curves,” Neal said. “We think that our study is significant and that the posterior dynamic distraction device shows promise in the avoidance of spine fusion for scoliosis patients, but we agree that ongoing study is needed to determine the true incidence of long-term complications at 2-year follow-up and beyond.”