Adam Gruca – precursor of the non-fusion tethering technique for idiopathic scoliosis correction (Vertebral Body Tethering)
Reference was made to 2 articles reprinted in No. 1/2025 of the Chirurgia Narządów Ruchu i Ortopedia Polska – Polish Orthopaedics describing the concept (1956) and a 3-year follow-up (1962) of correction of idiopathic scoliosis by convex interpedicular tethering with steel springs. The Polish orthop...
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| Format: | Article |
| Language: | English |
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Polish Society of Orthopaedics and Traumatology (PTOiTr)
2025-03-01
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| Series: | Chirurgia Narządów Ruchu i Ortopedia Polska |
| Subjects: | |
| Online Access: | http://polishorthopaedics.pl/gicid/01.3001.0055.0518 |
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| Summary: | Reference was made to 2 articles reprinted in No. 1/2025 of the Chirurgia Narządów Ruchu i Ortopedia Polska – Polish Orthopaedics describing the concept (1956) and a 3-year follow-up (1962) of correction of idiopathic scoliosis by convex interpedicular tethering with steel springs. The Polish orthopaedic surgeon Adam Gruca, the author of the technique, assumed that the springs produce a compressive force against the convexity of the curvature and applied it to the treatment of moderate flexible scolioses. Gruca liberated the convex ribs from the transverse processes at the costo-transverse and costo-vertebral joints in order to correct the rib hump by pushing it anteriorly. The spring was placed along the curve convexity in a newly created space located between the anterior aspect of the transverse processes and the corresponding rib necks. Such mechanism of scoliosis correction (Gruca “anterior interpedicular alloplasty”) seems the unique one proposed so far. The technique can be considered precursor to modern Vertebral Body Tethering (VBT). |
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| ISSN: | 0009-479X 2956-4719 |