Introduction: Scoliosis is a spinal disorder common in adolescents, characterized by a three-dimensional deviation of the spine that can progress in severity. In severe cases, where the Cobb angle exceeds 40 degrees, surgical correction of the deformity is indicated. Sublaminar bands, as an alternative to conventional treatment, offer greater safety and effectiveness, enabling a stable and precise three-dimensional correction for the patient's well-being
Methods: A systematic review was conducted following PRISMA guidelines, reviewing studies on surgical treatment of idiopathic and neuromuscular scoliosis in adolescents using sublaminar bands (SB). The search in PubMed, Scopus, and WoS identified 350 articles, from which, after applying selection and review criteria, 12 final studies were extracted
Results: A total of 12 studies comprising 1,008 patients were included in this meta-analysis. The mean age was 16.54 years, with 78.9% female and 21.1% male participants. The follow-up period ranged from 6 to 132 months. No cases of infection or mortality were reported. The pooled incidence of outcomes, along with their respective 95% confidence intervals (CI), was as follows: 0.2% of patients experienced neurological deficits, and 0.89% required reintervention.
Conclusion : This meta-analysis demonstrates that sublaminar bands are a safe and effective alternative for surgical treatment of scoliosis in adolescents, offering stable and precise three-dimensional correction with minimal complications. The low incidence of neurological deficits and reintervention rates, alongside the absence of infection or mortality, supports the use of sublaminar bands as a reliable technique that enhances patient outcomes. These findings suggest that sublaminar bands could be considered a favorable option in the management of both idiopathic and neuromuscular scoliosis, potentially improving patient quality of life and surgical results
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