28. Novel posterolateral vertebral tethering combined with limited apical fusion in pediatric posterior scoliosis surgery reduces the number of levels fused and preserves lumbar range of motion

The surgical goals for pediatric scoliosis surgery are to create a balanced, stable spine, to preserve range of motion (ROM) especially in the lumbar spine, and to avoid complications such as revision surgery (RS) or adding on phenomenon (AO). We describe a posterior scoliosis surgical method using intravertebral interpedicle (IVIP) constructs for limited apical fusion within the major structural curve(s) and correction of the deformity above or below the fusion with posterolateral vertebral tethering (PLVT) utilizing polyethylene terephthalate bands.