Long-term outcomes of a new scoliosis treatment using anterior vertebral body tethering
Official title: A Prospective Analysis of Long-Term Clinical Outcomes and 3D Spine Growth in Anterior Vertebral Body Tethering
Run by Pediatric Spine Foundation · NCT04914507 · Data updated 2026-11-12
This study is testing a new, less invasive scoliosis treatment called anterior vertebral body tethering to see how well it helps younger patients with spinal curve issues grow and avoid complications compared to traditional methods.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 106 (estimated) |
| Sponsor | Pediatric Spine Foundation Academic / other |
| Locations | 12 sites (Washington D.C., District of Columbia and 11 other locations) |
| Status | Recruiting |
| Started | September 9, 2021 |
| Main results expected | September 2028 |
| Study ends | September 2029 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT04914507 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are skeletally immature children diagnosed with idiopathic scoliosis who are planned recipients of AVBT and have a major Cobb angle between 30° and 65°.
✕Probably not a fit
Patients with prior spinal surgery at the treatment level, systemic infections, or poor bone quality may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the long-term clinical outcomes of skeletally immature patients with idiopathic scoliosis who undergo anterior vertebral body tethering (AVBT), a minimally invasive technique aimed at controlling spinal curve progression. The research focuses on assessing three-dimensional spine growth compared to normal controls, maintaining a major Cobb angle of 50 degrees or less at skeletal maturity, and identifying any complications associated with the procedure and device. By analyzing these outcomes, the study aims to provide valuable insights into the effectiveness and safety of AVBT as an alternative to traditional spinal fusion.
Why it matters
Potential benefit: If successful, this study could offer a less invasive treatment option for children with scoliosis, potentially improving their long-term spinal health and quality of life.
How similar studies have gone: While AVBT is a novel approach, initial enthusiasm suggests potential, but long-term outcomes have yet to be thoroughly evaluated in similar studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Skeletally immature patients that receive AVBT surgical treatment to obtain and maintain correction of progressive idiopathic scoliosis. Specifically: * Diagnosis of idiopathic scoliosis * Planned recipient of AVBT surgical treatment * Skeletally immature * Major Cobb angle ≥30° and ≤65° * Osseous structure dimensionally adequate to accommodate screw fixation, as determined by radiographic imaging * Failed or intolerant to bracing Exclusion Criteria: * Presence of any systemic infection, local infection, or skin compromise at the anticipated surgical site * Prior spinal surgery at the level(s) to be treated * Evidence of documented poor bone quality * Any other medical or surgical condition which would preclude the potential benefit of spinal surgery, such as coagulation disorders, allergies to the implant materials, and patient's unwillingness or inability to cooperate with post-operative care instructions as determined by the treating physician * Unwillingness, inability, or living situation (e.g. custody arrangements, homelessness, detention) that would preclude ability to return to the study site for follow-up visits as described in protocol and Informed Consent * Unwillingness to sign Informed Consent Form and participate in study procedures
Where it's running
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Children's National Hospital
Washington D.C., District of Columbia, United States Recruiting -
Shriners Children's Chicago
Chicago, Illinois, United States Recruiting -
Gillette Children's Specialty Healthcare
Saint Paul, Minnesota, United States Recruiting -
Washington University
St Louis, Missouri, United States Recruiting -
Morgan Stanley Childrens Hospital of New York-Presbyterian
New York, New York, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting
Show 6 more locations
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Shriners Children's Portland
Portland, Oregon, United States Recruiting -
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
The Medical University of South Carolina
Charleston, South Carolina, United States Recruiting -
Vanderbilt University
Nashville, Tennessee, United States Recruiting -
Primary Children's Hospital
Salt Lake City, Utah, United States Recruiting -
Children's Hospital of Eastern Ontario
Ottawa, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Ron El-Hawary, MD — Dalhousie University
- Study coordinator: Tyler Farber
- Email: tfarber@pediatricspine.org
- Phone: 3197501029
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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TXA in kids undergoing scoliosis surgery
This trial tests whether tranexamic acid can reduce blood loss and the need for transfusions in children aged 10–18 having surgery for idiopathic scoliosis.
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Post-market follow-up of the NEMOST V2 spinal implant
This project will try the NEMOST V2 growing domino in children aged 5–17 with progressive scoliosis to track safety and device performance over five years.
-
Diffusion in the growing spine: ADC of the intervertebral disc in children
This study tests whether MRI diffusion measurements in the intervertebral disc can help understand differences between scoliotic and healthy children.
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Breathing muscle training for children and teens with idiopathic scoliosis during Schroth therapy
This project will see if adding inspiratory muscle training to Schroth therapy helps 11–16-year-olds with idiopathic scoliosis breathe better, tolerate exercise more, and strengthen their core.
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High-resolution MRI of paravertebral (back) muscles in children with idiopathic or neuromuscular scoliosis
We will use a short, extra high-resolution MRI to see if differences in the deep back muscles are linked to scoliosis in children aged 10–17 with idiopathic or neuromuscular forms.
-
Schroth method with and without core stabilization exercises for adolescents with idiopathic scoliosis
This trial tests whether adding core stabilization exercises to the Schroth method helps teens (ages 10–18) with mild idiopathic scoliosis reduce spinal curve, build back endurance, increase chest mobility, and improve quality of life.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.