Ventral dynamic correction (VBT/ASC) of idiopathic scoliosis in full-growth patients

Summary Work’s goal of this study is to improve the quality of life of patients with full-growth idiopathic scoliotic deformities using a generation IV instrument in surgical treatment. Material and methods. n the Spine Pathology Department of Vertebrology, Central Institute of Traumatology and Orthopedics "N.N. Priorov" (Moscow), Orthopedics and Traumatology of the National Scientific-Practical Center of Pediatric Surgery "N.Gheorghiu" (Chisinau), 264 patients with idiopathic scoliotic deformity were evaluated pre- and post-operatively, over a period of 1-5 years (2020 - 2025). The ASC / VBT method was used. Clinical data, imaging, functional laboratory tests and, if necessary, 3D CT, MRI were monitored. The given group of patients was aged between 13.5 - 36.8 years; predominantly affected females - 191 (72.5%). The results of our clinic in terms of morbidity, including postoperative, depending on the type of scoliosis (according to Lenke's classification) were as follows: x. According to the assessment scales, at 36 months postoperatively, the average SRS 22 score for all patients was 4.0±0.42 (from 3.00 to 4.95). Comparing the data of the VAS scale to 6.9±1.5 (4.0-9.0) and at 24 months postoperatively 4.4±1.6 (1.0-7.0), a significant improvement of the patients is attested, which also confirms the effectiveness of the surgical treatment. Conclusion: 1. Carefully analyzing the results of the studies presented in the literature and our own, we have reached a series of conclusions. We believe that VBT/ASC represents a universal, revolutionary and highly efficient method, which radically changes the strategies in spinal surgery by using new innovative technologies in the treatment of scoliosis with promising results, satisfactory correction and reduced postoperative morbidity. 2. However, at this time it cannot be stated with certainty that the future ASC may have the potential to become the "Gold Standard" for some types of scoliosis. 3. In order to find the answer to several questions, it would be welcome to conduct a comparative, multicenter, prospective, randomized study, which would certainly confirm or deny the superiority of one of these surgical techniques and it would probably be possible to establish a safer pre-intra- and postoperative conduct.