This interview is for educational purposes and covers information provided by Dr. Baron Lonner regarding his opinions on Vertebral Body Tethering (VBT) Non-Fusion Scoliosis Surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via time stamps below.
00:00 Introduction
00:35 Career path to spine surgeon.
4:37 Origin of minimally invasive thoracoscopic scoliosis surgery.
6:19 Thoracoscopic surgery and anterior fusion.
7:51 Minimally invasive vs Mini open surgical techniques.
11:33 Resurgence of anterior fusion surgery.
13:08 Impact of lung function with anterior approach.
14:01 How many revisions till lung function is impacted?
15:06 Apifix.
19:25 Apifix testing coming soon.
20:27 First exposure to vertebral body tethering. Not an early adopter to VBT.
23:19 Dr. Lonner has been tethering for 5 years. 120/year, 320 in total over 5 years.
24:07 Why are most surgeons not adding VBT to their scoliosis tool kit?
26:08 Faster recovery from VBT vs fusion surgery.
28:01 Mature spine VBT.
28:57 Bone Remodeling vs Bone Modulation in mature spines.
29:51 Double tethering in mature spines. No breakage.
30:29 Bone remodeling - adolescent vs mature adult.
31:56 Mature spine tethering is controversial. Discusses a mature spine case.
34:02 Mature patient VBT parameters.
34:55 Hybrid - thoracic fusion and lumbar tethers.
36:57 Perfect VBT parameters for immature spines.
38:02 VBT parameters for maturing adolescent spines.
39:33 Sanders score parameters.
40:31 What led Dr. Lonner into mature spine tethering?
43:08 Diverse practice - infants to mature adults.
43:52 Is there reduction in range of motion with double tethers?
45:05 Perspective on disc release.
47:58 Disc release details.
50:08 Disc release in immature and mature curves.
50:59 Bone growth modulation will continue with disc release if the cartilaginous end plates are intact.
51:44 Next generation of tethering.
52:42 Involvement with Zimmer Biomet.
54:26 Tether news.
55:24 Mature spine tethering advances in the future?
56:32 Vertebral osteotomies.
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