Learning Objectives:

1. Identify the potential advantages of vertebral body tethering compared to the standard arthrodesis procedure in AIS.
2. Define the principle of growth modulation in correcting and maintaining curve correction in the skeletally immature AIS patient.
3. Term established indications for the tethering procedure.
4. Define the prerequisite skill sets required in the performance of the tethering procedure.
5. Delineate the pitfalls, complications, and unknown long term outcomes associated with spinal tethering procedure.