About this trial
The goal of this observational study is to collect information about The Tether™ device in participants with progressive idiopathic scoliosis, Lenke Type 1 curves. The main purpose is to provide assessment of:
* ongoing safety * probable benefits Participants who will receive The Tether™ during spine surgery will have to attend follow-up visits which are part of standard-of-care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of progressive idiopathic scoliosis;
Skeletally immature, based on both Risser (<5) and Sanders (<8) assessments;
Major Cobb angle ≥30° and ≤65°;
Osseous structure dimensionally adequate to accommodate screw fixation, as determined by radiographic imaging;
Disqualifiers
Presence of any systemic infection, local infection, or skin compromise at the surgical site;
Prior spinal surgery at the level(s) to be treated;
Known poor bone quality defined as a T-score -1.5 or less;
Skeletal maturity;
Trial population
Skeletally immature patients that require surgical treatment to obtain and maintain correction of progressive idiopathic scoliosis (Lenke Type 1 curves), with a major Cobb angle of 30 to 65 degrees whose osseous structure is dimensionally adequate to accommodate screw fixation, as determined by radiographic imaging. Patients should have failed bracing and/or be intolerant to brace wear.
Trial design
Case-only
Prospective
Treatments tested in this trial
Vertebral Body Tethering (VBT)
Procedure/SurgeryVertebral Body Tethering surgery with the Tether™ in UK
Treatment groups
Trial outcomes
Primary outcomes
Rate of serious adverse events, and device- and/or procedure-related adverse events
Serious adverse events, and device- and/or procedure-related adverse events (including intra-operative) will be registered at any post-operative time point
Percentage of patients with maintenance of the major Cobb angle ≤ 40 degrees
Major Cobb angle will be measured by x-rays
Secondary outcomes
Rate of overall adverse events, relatedness, severity, time to event
Adverse events (including intra-operative) will be registered at any post-operative time point
Rate and types of reoperations
Reoperations will be registered at any post-operative time point
Progression of secondary curves
Secondary curves will be assessed by x-rays
Development of new curves
New curves development will be assessed by x-rays at each follow-up visit
Sponsors and contacts
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