• Appointment
  • +90 533 791 8964
Prof. Dr. Şevki ERDEM

Scoliosis and Spinal Surgery

×
  • Home
  • About Me
  • Our Treatments
    • Scoliosis
    • Kyphosis
    • Spondylolisthesis
    • Other Backbone Deformities
  • Contact
  • Blog
  • TürkçeTürkçe
Surgical Treatment of Scoliosis in Adolescence

Tethering method is a surgical treatment method applied in adolescent scoliosis, which is commonly known as the “string method” among the public.  It has been frequently preferred in many cases in recent years.

Adolescent scoliosis appears during the period starting 2-3 years before entering puberty and continuing until 2 years after entering the puberty, in other words, during the process when the spine is growing.  It is a spine deformity whose exact cause is unknown.

In curvatures that start especially in the early stages of adolescence, increases and rapid progressions proportional to the growth of the trunk can be seen.  Especially when we look at our children, we can observe that these curvatures progress during an approximately 8-10 month period when their height suddenly increases.

With the tethering method, a treatment is applied that allows the spine to continue to grow while preserving the flexibility of the spine in progressed curvatures.

In which disorders can the Tethering Method be applied?

The tethering method is not a method that can be applied in every case and can solve every problem.  According to recent studies (American Volume, 2018), the success rate is 59%, and the complication rate is 41%. These rates indicate that it cannot be determined which patients can benefit from this treatment method precisely and clearly.

To apply the tethering method, there should be a curvature of approximately 40 degrees or more in the back region. The tethering method cannot be applied to the lumbar region curvatures.

It is more suitable to apply it to individuals who have just entered adolescence and whose growth hormone and cores are still in the initial period.  It is not possible to apply it in the late period after entering adolescence, and there is no chance of correcting the curvature.

How is the Tethering Method applied?

Screws are sent from the rib cage to the top point of the curvature in the back region, and the growth in the relevant area is slowed down with a tethering method. After straightening the curvature in the spine, balance is achieved because the growth of the curvature is slowed down.

LAST BLOG

  • Spondylolisthesis (Spondylolisthesis Surgery) Apr 11

    It has been found that approximately 5% of patients who...

  • Surgical Treatment of Scoliosis in Adolescence Apr 11

    Tethering method is a surgical treatment method applied in adolescent...

  • What is kyphosis and what are its symptoms? Apr 11

     The human spine has anatomical reverse curves (in the neck,...

  • What is Scoliosis (Spinal Curvature), and How Is It Treated? Apr 11

    ‘’Scoliosis’’, which is the name given to spinal curvature, is...

CONTACT FORM

    Reason for Visit

    "]

    Prof. Dr. Şevki Erdem

    Prof. Dr. Şevki Erdem has dedicated his professional career to working on projects that enable people to stand upright. With almost 20 years of experience in the field of Scoliosis, Kyphosis, and Spine Surgery, Erdem’s operations have not only helped patients in Turkey but also numerous patients from abroad to regain their lives.

    BLOG

    • Spondylolisthesis (Spondylolisthesis Surgery)
    • Surgical Treatment of Scoliosis in Adolescence

    Contact

    +90 533 791 89 64

    info@sevkierdem.com

    Kartal Kızılay Hospital

         
    Copyright ©2023 All rights reserved by Prof. Dr. Şevki Erdem
    • WhatsApp WhatsApp
    • +90 533 791 89 64 +90 533 791 89 64