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. facebook.com/groups/11982... drdereklee.com/
Great video as always! Its kind of crazy how just as am about to embark in this journey and find out which surgery is right for me, you release all these absolutely amazing videos. Oh and the time stamps are the cherry on top! Thank you again Dr. Lee, we all appreciate these videos very much!
By the way if you see this comment, I was just wondering if by calling all these procedures "VBT" does that mean they are not "ASC" or is the ASC procedure considered under the VBT umbrella. Sorry just a little confused about that one, thanks!
Thanks for the kind comment! I'm happy that you are finding these interviews informative. That's the main reason I decided to interview surgeons directly. Collect accurate information directly from the spine surgeons so parents/patients can make more informed decisions.
@@SuperL00k Both VBT and ASC (Anterior Scoliosis Correction) use tethering but they use a different surgical approach. VBT typically uses a minimally invasive thoracoscopic approach where 4-6 small incisions (holes) are used to access the chest cavity and spine. ASC uses a mini-open technique which uses a longer incision to give greater access to the chest cavity and spine. Hope that makes sense. :)
Thank you for the presentation and associated data. I am interested in learning more about surgeons and the number of VBT surgeries performed. Does a database exist that provides this information?
Unfortunately, as far as I know, there is no database that lists the number of VBT surgeries performed by each surgeon. However, Dr. Lonner has likely performed VBT's in the hundreds.
Yes, VBT is a non-fusion technique used to correct scoliosis. VBT is not as applicable for severe kyphosis. Definitely check with your health care provider/team for applications for individual cases.
Dr. Derek Lee - getting operated for scoli fusion during this covid time is that advisable Or Should I wait for covid to get over n than get operated for covid
@@artninjapr8310 The following link goes to the Scoliosis Research Society (SRS) where you can submit your questions to a surgeon. www.srs.org/forms/ask-a-doc.php
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.
facebook.com/groups/11982...
drdereklee.com/
Great video as always! Its kind of crazy how just as am about to embark in this journey and find out which surgery is right for me, you release all these absolutely amazing videos. Oh and the time stamps are the cherry on top! Thank you again Dr. Lee, we all appreciate these videos very much!
By the way if you see this comment, I was just wondering if by calling all these procedures "VBT" does that mean they are not "ASC" or is the ASC procedure considered under the VBT umbrella. Sorry just a little confused about that one, thanks!
Thanks for the kind comment! I'm happy that you are finding these interviews informative. That's the main reason I decided to interview surgeons directly. Collect accurate information directly from the spine surgeons so parents/patients can make more informed decisions.
@@SuperL00k Both VBT and ASC (Anterior Scoliosis Correction) use tethering but they use a different surgical approach. VBT typically uses a minimally invasive thoracoscopic approach where 4-6 small incisions (holes) are used to access the chest cavity and spine. ASC uses a mini-open technique which uses a longer incision to give greater access to the chest cavity and spine. Hope that makes sense. :)
Thank you Dr. Lee!
Thanks Ronnie!
Thank you for the presentation and associated data. I am interested in learning more about surgeons and the number of VBT surgeries performed. Does a database exist that provides this information?
Unfortunately, as far as I know, there is no database that lists the number of VBT surgeries performed by each surgeon. However, Dr. Lonner has likely performed VBT's in the hundreds.
Thanks for the great interview Dr Lee. Were Dr Lonner's comments about osteotomies in relation to tethering or fusion for idiopathic scoliosis?
Fusion I believe.
This was fantastic, Thank you Dr. Lee! Cant VBT be used to correct Scoliosis and Kyphosis?
Yes, VBT is a non-fusion technique used to correct scoliosis. VBT is not as applicable for severe kyphosis. Definitely check with your health care provider/team for applications for individual cases.
Please help my kid he is 8 years I am live in ethiopia
Dr.Lee can I get e-mail I'd of dr.Baron to discuss about my case as I have thoracic scoliosis
Best to reach out to his office. www.scoliosisassociates.com/contact/
Dr. Derek Lee - I have tried but I am from India
Can I contact on email
Call their office and ask for an email contact. That would be your best course of action.
Dr. Derek Lee - getting operated for scoli fusion during this covid time is that advisable
Or
Should I wait for covid to get over n than get operated for covid
@@artninjapr8310 The following link goes to the Scoliosis Research Society (SRS) where you can submit your questions to a surgeon. www.srs.org/forms/ask-a-doc.php