Dr. Joshua Pahys and Dr. Steven Hwang, Vertebral Body Tethering, interviewed by Dr. Derek Lee.

This interview is for educational purposes and covers information provided by Dr. Joshua Pahys and Dr. Steven Hwang regarding there opinions on Vertebral Body Tethering (VBT) and scoliosis fusion surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.

Chapters:
0:00 Introduction
0:30 Career paths to orthopedic and neurosurgeon.
3:56 Dr. Pahys' scoliosis journey.
5:50 Paths to Shriners Hospital for Children Philadelphia.
7:02 Is scoliosis surgery different from a neurosurgery vs orthopedic surgery perspective?
8:42 Scoliosis case consultations & collaborations.
10:26 Shriners Philadelphia is an open/transparent environment.
11:18 Halloween Research!!
11:42 Collaboration between Shriners hospitals and surgeons is unique.
13:33 First exposure to Vertebral Body Tethering (VBT).
14:50 Number of VBT surgeries performed.
15:46 Scoliosis patient assessment process.
18:06 Current VBT parameters.
20:24 Tether breakage and revision rates for VBT.
23:04 Motion studies of VBT and fusion patients.
23:30 Motion is similar for both thoracic VBT and fusion.
24:09 Selective thoracic fusion and effect on lumbar levels.
26:32 Determining if a lumbar curve is compensatory.
28:02 Curves that respond best to VBT.
28:50 VBT and control of rotation (rib hump).
30:04 VBT and sagittal alignment & rotation.
31:14 Use of double tethers and loss of mobility.
32:38 VBT curve correction and spine flexibility.
33:55 Perspective on disc release.
37:44 Larger stiffer curves put more tension on the tether.
38:59 Post-VBT activity recommendations.
40:21 Post-VBT activity leading to tether breakage.
42:04 New tether??
43:34 Dr. Hwang's Actus Tether System.
44:25 The future of scoliosis treatment.

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