Central Airway Obstruction with Persistent Pulmonary Decline After Vertebral Body Tethering: A Case Report.
Melanie E BoeyerNicole M TweedyDaniel G HoernschemeyerSebastian WiesemannPublished in: JBJS case connector (2023)
This case illustrates the difficulty of performing VBT in a small patient with severe scoliosis and significant asymmetric pectus excavatum. We recommend using low-profile instrumentation and ensuring the trajectory of the instrumentation is anterior to the rib head and parallel to the articular facets.