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Prospective case series. Determine the efficacy of anterior vertebral body tethering (AVBT) in skeletally immature patients. The value of AVBT is currently unclear given the paucity of available data. Consecutive skeletally immature patients with idiopathic scoliosis were treated with AVBT between 2012 and 2018 by one of two surgeons working at two independent centres and followed up for 2 years. Data was collected prospectively and supplemented retrospectively where necessary. Outcomes were measured preoperatively, at first erect r