Vertebral body tethering (VBT) is a surgical technique employed to address scoliosis, primarily in skeletally immature patients. Unlike spinal fusion, VBT aims to correct the spinal curvature while preserving motion and allowing for continued growth. The procedure involves attaching a flexible, strong cord, known as a tether, to the convex side of the scoliotic curve using screws implanted into the vertebral bodies. This tether applies compressive force, modulating growth and gradually straightening the spine over time. The ideal candidates for VBT are typically adolescents with idiopathic scoliosis, a Cobb angle between 30 and 65 degrees, and significant remaining growth potential. Visit - Tethering Surgery for Scoliosis