ScolimiR-3D, a novel microRNA-based blood test, is designed to enable earlier intervention and personalized management of adolescent idiopathic scoliosis based on progression risk
VB Spine Announces FDA Breakthrough Device Designation for New Blood Test Designed to Identify Patients at Risk for Scoliosis Progression

NEW YORK--(BUSINESS WIRE)--VB Spine LLC (“VB Spine”), the largest privately-held spine company, today announced that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Device Designation to ScolimiR-3D, an in vitro diagnostic blood test designed to assess the risk of disease progression in patients diagnosed with adolescent idiopathic scoliosis (AIS). The designation is the first granted to a predictive diagnostic scoliosis risk assessment test.
ScolimiR-3D uses a standard blood draw to measure six circulating microRNAs associated with AIS progression and classify a patient's risk of developing a severe spinal curve. Dr. Alain Moreau and colleagues at the Viscogliosi Laboratory in Molecular Genetics of Musculoskeletal Diseases, part of the Centre de recherche Azrieli du CHU Sainte-Justine and Université de Montréal, developed the underlying science, which was published in Scientific Reports.¹ In that study of 116 AIS patients, the six-microRNA panel that forms the basis of ScolimiR-3D predicted the risk of developing severe scoliosis with 100% sensitivity and 100% specificity in the study's validation testing.
“For decades, physicians have had limited tools to determine which patients with adolescent idiopathic scoliosis are most likely to experience disease progression," said Dr. Moreau. "The challenge in scoliosis is not simply detecting the curve—it is knowing where that curve is going. ScolimiR-3D was developed to bring that predictive dimension into clinical care: using a simple blood test to identify progression risk earlier, when there is still an opportunity to personalize treatment and potentially change a patient’s trajectory.”
Scoliosis management today is largely reactive, with treatment decisions typically made only after curvature has progressed. ScolimiR-3D gives physicians the opportunity to structure conservative treatments, such as bracing, to align with the patient’s risk assessment. It also serves as an additional resource for counseling families across the continuum of care, from diagnosis through treatment planning, by providing a predictive risk assessment that goes beyond the traditional “wait and see” approach.
“Receiving FDA Breakthrough Device Designation is a significant milestone for this technology and for the future of scoliosis care,” said Marc Viscogliosi, co-CEO of VB Spine, speaking on behalf of his brothers and fellow co-CEOs Anthony and John Viscogliosi. “ScolimiR-3D will provide physicians with insights that support earlier, more informed decision-making. We're proud to work alongside Dr. Moreau and his team to advance this work.”
The Breakthrough Devices Program is intended to provide patients and health care providers with timely access to more effective treatment or diagnosis of life-threatening or irreversibly debilitating diseases or conditions. VB Spine's collaboration with Dr. Moreau has also been recognized through a nomination for the Scoliosis Research Society's Hibbs Award. Additional research supporting the technology is expected to be presented at the Scoliosis Research Society (SRS) 2026 Annual Meeting, October 6–10 in Sydney, Australia.
Dr. Moreau is a paid consultant of VB Spine. The opinions expressed by Dr. Moreau are his own and not necessarily those of VB Spine. Individual experiences may vary.
Forward-Looking Statements
Certain statements in this release are forward-looking and are based on current expectations, forecasts, and assumptions. Actual results may differ materially due to regulatory, commercial, and operational risks. VB Spine disclaims any obligation to update forward-looking statements except as required by law.
About VB Spine
VB Spine LLC is the largest privately-held spine company and among the largest family-owned medical technology companies in the world. With a comprehensive portfolio and a large and growing global distribution network, VB Spine delivers specialized solutions that address critical needs in spine surgery and enhance patient outcomes. Focused on people, partnerships, and operational excellence, VB Spine ensures healthcare professionals have access to the tools and resources needed to provide the highest standard of care. VB Spine is owned and led by the Viscogliosi Brothers. For more information on VB Spine, please visit www.vbspineco.com.
References: | |
1. | Khatami N, Caraus I, Rahaman M, et al. Genome-wide profiling of circulating microRNAs in adolescent idiopathic scoliosis and their relation to spinal deformity severity, and disease pathophysiology. Sci Rep. 2025;15(1):5305. Published 2025 Feb 12. doi:10.1038/s41598-025-88985-3 |
Contacts
For media inquiries only:
spinecommunications@vbspineco.com
Author
The De Angelis Group | Orthopedics This Week | MSK Innovations
Why This Matters
Two Perspectives
MBA Lens: Economic and industry impact
VB Spine's ScolimiR-3D received FDA Breakthrough Device Designation, marking a significant regulatory milestone for a predictive diagnostic test in adolescent idiopathic scoliosis. This novel blood test aims to shift scoliosis management from reactive to proactive, enabling earlier, personalized interventions like bracing and potentially reducing the need for more invasive treatments by identifying progression risk sooner. This could redefine treatment pathways and impact reimbursement strategies.
- The designation offers VB Spine a competitive advantage by accelerating market access for this first-of-its-kind predictive diagnostic.
- ScolimiR-3D's ability to guide conservative treatments could optimize resource allocation and influence future reimbursement models for scoliosis care.
PhD Lens: Clinical and outcomes impact
ScolimiR-3D is a novel microRNA-based in vitro diagnostic blood test designed to assess the risk of disease progression in adolescent idiopathic scoliosis (AIS) patients. Developed by Dr. Alain Moreau and colleagues, it measures six circulating microRNAs to predict the likelihood of developing severe spinal curves. The underlying science, published in Scientific Reports, reported high diagnostic accuracy in a validation study.
- The test utilizes a standard blood draw to analyze a panel of six specific microRNAs associated with AIS progression.
- A study of 116 AIS patients demonstrated 100% sensitivity and 100% specificity in predicting severe scoliosis risk during validation testing.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
Join the conversation
Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.