Quote Originally Posted by Pooka1 View Post
I am hoping they solve tethering for adults in the future. One of my two daughters was left with a mid 20s lumbar curve. I wonder if even multiple tethers, serially replaced as they break, is better than fusion. Were it me, I think I would try that.
This is secondhand, but I have heard that the docs who have been doing tethering the longest will only do three procedures in a lifetime because it's too traumatic to come in from the side and deflate the lung and move the psoas muscle. To the point where they're telling people who's tethers have broken twice to wait for stronger tethers to come on the market because they only have one revision left.

Btw, the doc explained something that we have talked about before. He said that with bracing, they make the kids stand up super straight and that makes the spine a little less curved than it really is, even 24-48 hours out of brace. It really takes weeks or months of slouching (as we all do) for the spine to settle into it s natural curvature. So in his experience it's not uncommon to see braced kids "improve" by a few degrees while bracing, but then have that improvement go away and even get a few degrees worse in the follow up after cessation. He said that he specifically budgets in a ten percent "settling" progression when recommending surgery or not in kids who are bracing at maturity. (Hence his warning that at her next scan my daughter will likely be around 42-43T and 39-40L.)