Vertebral Body Tethering: Applications in Pediatric Spinal Deformity

Vertebral body tethering (VBT) is an innovative surgical technique for the management of pediatric spinal deformities, with an emphasis on scoliosis. This chapter discusses the principles behind growth modulation, patient selection criteria, surgical techniques, and the evolving clinical indications for VBT. Comparative outcomes with traditional fusion methods, potential complications, and long-term considerations are reviewed. This chapter also explores current evidence, ongoing research, and future directions in the application of VBT.