Vertebral Body Stapling (VBS) is an alternative to bracing. Although the procedure itself is considered “minimally-invasive” it is nonetheless major surgery and the decision to do this should not be taken lightly. There are many factors to consider all of which your physician should discuss in detail with you and your child.
The basic principal behind VBS are “in theory” very simple. Once the staples are inserted the staple itself applies pressure to the convex (outer) side of the curve therefore reducing the rate in which it grows allowing the other side to “catch up”. Therefore there is a very real possibility that correction can take place not only the day of surgery but over time. Conventional bracing offers no likelihood of correction whatsoever; conventional bracing only hopes to maintain the curve during growth. Keep in mind that there are no guarantees with either conventional bracing or VBS.
The basic criteria for VBS are as follows:
Ø The child must still have years of growth remaining (normally girls up to age 14 and boys up to age 16).
Ø Curve less than 45°
Ø Spine flexibility
The above list does not automatically qualify or disqualify anyone, these are just “basic criteria” it is imperative that you consult a physician for an accurate medical treatment plan.
The concept behind stapling is not new; stapling has been used for many years on conditions like bowed legs or knock-knees. The development of the nickel and titanium staple (or c-clamp) is what has made stapling a viable option for treating scoliosis.
