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Im dr. Derek Lee Im thrilled to introduce a pioneer and innovator in non-fusion scoliosis surgery dr. Randall Betts now dr. Betts not only your your trailblazer in vbt but you took it a step further with ASC how did you initially conceived of ASC in terms of your thought processes when we started vbt back in 2011 and we started to see a lot of patients coming in for consults wanting the non-fusion correction and unfortunately they were more mature they had missed the growing window so we use Sanders which is a score looking at growth plates in the hand and it was thought if they were over Sanders for they pride in them enough growth left for just putting the cord and screws in to correct the spine so we started doing mature patients but we found that you had to get them completely corrected so we in order to do that we needed to make a small incision instead of just the portals that door scopic portals you needed a small incision so that you could put the two towers on and actually
