Dr. Pedro Berjano, MD, PhD, Anterior Scoliosis Correction (ASC) Non-Fusion Scoliosis Surgery.

This interview is for educational purposes and covers information provided by Dr. Pedro Berjano, MD, PhD, regarding his opinions on Anterior Scoliosis Correction (ASC) which is a non-fusion scoliosis 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.
0:58 Anterior approach to scoliosis surgery.
3:15 First exposure to non-fusion scoliosis surgery.
6:22 First VBT/ASC surgery - Jan 2018
7:00 Why were you attracted to VBT/ASC?
8:54 Lack of certainty with some procedures.
9:34 Patients have their surgical preferences.
10:24 The difference between VBT & ASC.
11:06 VBT (Vertebral Body Tethering) - Immature spine tethering.
11:56 ASC (Anterior Scoliosis Correction) - 3 aspects of mature spine tethering.
12:16 ASC: Release the spine to increase flexibility.
12:29 ASC: Use mini-open approach to give greater access to chest cavity.
12:53 ASC: Increase strength of implant.
13:51 Perspective on disc release.
14:56 Possible outcomes of disc release.
17:21 ASC and disc release vs. fusion.
20:24 ASC: What happens if a tether breaks?
24:25 Case 1: ASC with disc release with improved kyphosis.
26:29 Case 2: Mature spine ASC
27:09 Case 3: ASC with double curve.
27:49 Case 4: ASC with double curve.
29:12 Case 5: ASC with double curve.
29:57 Case 6: ASC tether break.
30:24 Case 7: ASC with double severe curves.
31:57 Case 8: First ASC surgery.
33:33 Case 9: ASC with double curve for 28 female.
34:20 Case 10: ASC for 24 year old female with syndromic curve.

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