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            <title xml:lang="en">The effects of vertebral body tethering on sagittal parameters: evaluations from a 2-years follow-up</title>
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                <forename type="first">Alice</forename>
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                <forename type="first">Pedro</forename>
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            <idno type="halRefHtml">&lt;i&gt;European Spine Journal&lt;/i&gt;, 2021, 31 (4), pp.1060-1066. &lt;a target="_blank" href="https://dx.doi.org/10.1007/s00586-021-07076-9"&gt;&amp;#x27E8;10.1007/s00586-021-07076-9&amp;#x27E9;&lt;/a&gt;</idno>
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            <idno type="stamp" n="TIMC-IMAG">TIMC</idno>
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            <idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
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                <title xml:lang="en">The effects of vertebral body tethering on sagittal parameters: evaluations from a 2-years follow-up</title>
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                  <persName>
                    <forename type="first">Alice</forename>
                    <surname>Baroncini</surname>
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                    <forename type="first">Aurelien</forename>
                    <surname>Courvoisier</surname>
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                <author role="aut">
                  <persName>
                    <forename type="first">Pedro</forename>
                    <surname>Berjano</surname>
                  </persName>
                  <idno type="halauthorid">3045230-0</idno>
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                <author role="aut">
                  <persName>
                    <forename type="first">Filippo</forename>
                    <surname>Migliorini</surname>
                  </persName>
                  <idno type="halauthorid">3045231-0</idno>
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                <author role="aut">
                  <persName>
                    <forename type="first">Jörg</forename>
                    <surname>Eschweiler</surname>
                  </persName>
                  <idno type="halauthorid">803232-0</idno>
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                <author role="aut">
                  <persName>
                    <forename type="first">Philipp</forename>
                    <surname>Kobbe</surname>
                  </persName>
                  <idno type="halauthorid">3045232-0</idno>
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                  <persName>
                    <forename type="first">Frank</forename>
                    <surname>Hildebrand</surname>
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                  <idno type="halauthorid">3045233-0</idno>
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                  <persName>
                    <forename type="first">Per David</forename>
                    <surname>Trobisch</surname>
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                <idno type="issn">0940-6719</idno>
                <idno type="eissn">1432-0932</idno>
                <title level="j">European Spine Journal</title>
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                  <publisher>Springer Verlag</publisher>
                  <biblScope unit="volume">31</biblScope>
                  <biblScope unit="issue">4</biblScope>
                  <biblScope unit="pp">1060-1066</biblScope>
                  <date type="datePub">2021-12-15</date>
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              <p>Abstract Introduction While the effects of VBT on coronal parameters have been investigated in various studies, this has not yet been the case for sagittal parameters. This is of particular relevance considering that VBT does not allow direct correction of the sagittal profile. Thus, we investigated the effects of VBT on sagittal parameters in patients with adolescent idiopathic scoliosis. Materials and methods Retrospective, 2-Center study. Patients who underwent VBT and presented a 2-years follow-up were included. The differences in sagittal parameters were evaluated, along with modifications of sagittal profile following Abelin-Genevois’ classification. Results Data from 86 patients were obtained. Mean Cobb angle was 52.4 ± 13.9° at thoracic level and 47.6 ± 14.3° at lumbar level before surgery, and 28.5 ± 13.6 and 26.6 ± 12.7° at the 2-year follow-up, respectively. Mean thoracic kyphosis increased from 28.3 ± 13.8 to 33 ± 13°, the lumbar lordosis (LL) was unvaried (from 47.5 ± 13.1 to 48.4 ± 13.5°), PT decreased from 9.4 ± 8.5 to 7.4 ± 6.1°, the sagittal vertical axis SVA decreased from 4.5 ± 31.4 to − 3.6 ± 27.9 mm. No kyphotic effect on LL in patients who underwent lumbar instrumentation was observed. Before surgery, 39 patients had a type 1 sagittal profile, 18 were type 2a, 14 type 2b and 15 type 3. Postoperatively, 54 were type 1, 8 were 2a, 13 were 2b and 11 were type 3. Conclusions VBT positively influences sagittal parameters and does not have a kyphotic effect on LL.</p>
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