ShrinerвЂ™s was doing some metal rods and then a group in California also. We used to work together and we were the group in New York that was doing the metal rods from the front. If you go back to about 2007 or 2008, there was about a group of 30 of us in the country, in the US, that we were trying to do metal rods more from the front than the back.

ItвЂ™s all about history and context, right? And how you evolve. Betz and Shriners and the development of Vertebral Body Stapling and then to VBT and then to ASC, what did you see early on in terms of the potential of VBT that made you want to focus almost solely on VBT. Evolution ofВ ASCВ (Anterior Scoliosis Correction) And with the think tank, the three of us, thatвЂ™s how weвЂ™ve made so much progress.

Cuddihy.Д«ut as a think tank, we were able to progress the field dramatically fast because itвЂ™s different than being in your own practice or being in your own university setting where you donвЂ™t necessarily have the feedback of someone. And as I said, you know, he doesnвЂ™t really operate. So 12 years ago, she left there, became a partner, and sheвЂ™s been assisting me on every single surgery for the last 12 years.ДЄnd so thatвЂ™s how we formed. She was our fellow at Shriners 12 years ago. Cuddihy, who is the C doctor A is me, Dr. WeвЂ™ll focus just on VBT and as a think tank, weвЂ™ll focus on that.ДЄnd Dr. Betz, why donвЂ™t you leave Shriners, come join my practice so that IвЂ™ll focus just on VBT and IвЂ™ll give up all metal rod surgery and all that I was doing for the prior 15 years. And I used to go once a week to Shriners Hospital, do volunteer surgery and work in a volunteer capacity.ДЄnd over the years, as we developed, as you know, the technique for VBT and things at Shriners, I kept saying to Dr. Betz used to be the head of Shriners Hospital, as you know. About seven years ago is when I started to bring that team together and the way that work was, IвЂ™ve always been in this practice here in Princeton, New Jersey, which is about thirty to five forty minutes from Shriners Hospital in Philadelphia.ДЄnd I was always a consultant there for many years since I started. I know initially you were in private practice by yourself, but then you started to create the famous ABC team.Д¬an you talk about how that developed and how you brought everyone together.Д¬orrect.

I have spent several years and focusing on different aspects of spine surgery until about seven years ago, I started focusing very specifically on scoliosis with the technique that weвЂ™re talking about today. And so I have this pathway ahead of me of following all my brothers and sisters as they went through medicine.ДЄnd then I always tell people also, once you get to medical school and slightly into that, thereвЂ™s a field of medicine for every personality.ДЄnd I gravitated toward spine surgery and then I focused on many different areas. IвЂ™m the youngest of six kids and five of us are in the medical field. I always like to ask surgeons from the start, what was your initial interest in medicine and how did you basically evolve in terms of becoming an orthopedic spine surgeon? Darrell Antonacci, whoвЂ™s a spine surgeon at the Institute for Spinal Scoliosis. ABC that ASC yields aesthetically appealing cosmetic incisions hidden under the arms better than VBT.

Cuddihy, who are pioneers in this field, prefer ASC.ДЇurthermore, it is the opinion of Drs. For this and many of the reasons listed on this page, Drs. Therefore, we prefer Anterior Scoliosis Correction (ASC) and not VBT (Vertebral Body Tethering). In most cases, spinal curvatures like scoliosis, and particularly with hypokyphosis, need to be вЂњde-tetheredвЂќ for optimal correction. In our opinion, the terms вЂtetherвЂ™ and вЂ tetheringвЂ™ used to describe the technique we perform are not medically accurate. Scoliosis inherently is a process by which the spine is already tethered. Using the techniques of ASC, patients will have muscle sparing surgery which helps maximize flexibility while straightening small, large, and even stiff curves in growing or mature patients. AntonacciвЂ™s Anterior Scoliosis Correction ASC is a flexible approach used in correcting scoliosis.

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