Dobomed Method, developed in 1979, by the Polish Dr. Krystyna Dobosiewicz (1931- 2007), is a conservative approach to Idiopathic Scoliosis, aimed at both deformity of the trunk and restoration of respiratory function. It has incorporated in its techniques both the position of the Klapp Method for the retraining of the normal 'kyphosis' of the thoracic spine and the technique of active asymmetrical breathing by Lehnert-Schroth (Lunes et al., 2010 , Berdishevsky et al., 2016). The mobilization of the primary bulges is carried out through a closed kinetic chain, in a symmetrical position of the pelvis and shoulders, emphasizing both the pelvis and the shoulders so that they are kept stable during the exercise and during the phase of inhalation and exhalation, respectively. active asymmetric respiration.
Vertebral Body Tethering (VBT) by Dr. Ahmet Alanay
Posterior Instrumentation and Fusion is the gold standard of care for treating severe scoliotic curves. Although spinal fusion stands effective, it limits motion, halts growth in the operated segments and is not without complications.
Vertebral body tethering (VBT) is a novel thoracoscopic minimal invasive surgical technique. It is a “growth modulation” method, which depends on remaining spinal growth of the patient. The correction of the deformity is achieved by thoracoscopic placement of a tether into the vertebral body screws on the convex side of the spinal deformity. The aim of this growth- and motion-sparing technique is to correct and/or stabilize the curve while modulating the growth of the spine to avoid fusion for AIS in selected group of patients. It is a very promising alternative, however there is still more progress to be made.