The effect of intraoperative traction during posterior spinal instrumentation and fusion for adolescent idiopathic scoliosis

Spine
Jean-Marc Mac-ThiongJulie Joncas

Abstract

A retrospective study comparing patients having traction and a control group not having traction during posterior spinal instrumentation and fusion (PSIF) for adolescent idiopathic scoliosis (AIS). To evaluate the effect of intraoperative traction on surgical correction of AIS. When the Cotrel-Dubousset instrumentation system was introduced, the use of intraoperative traction was advocated. However, there is no specific report documenting the effect of intraoperative traction on the correction of AIS. The medical and radiologic records of 140 AIS patients treated by PSIF were reviewed. Forty of these patients had intraoperative traction using a head halter associated with lower extremity skin traction. The radiologic outcome was compared between the two groups intraoperatively (before instrumentation with the first rod) and after surgery using Student t tests (level of significance = 0.05). The intraoperative and postoperative corrections of the coronal primary Cobb angle were similar for both groups, although the patients in the traction group had smaller preoperative Cobb angles and more flexible curves and were instrumented with more screws. The postoperative thoracic kyphosis was significantly increased in both groups. The ...Continue Reading

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Citations

Nov 10, 2011·Archives of Orthopaedic and Trauma Surgery·Xiaofei ChengDewei Zou
Apr 29, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Christopher DriscollJean Dansereau
May 5, 2009·Journal of Spinal Disorders & Techniques·Kajsa DukeHubert Labelle
Jun 25, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Marinus de KleuverChristopher Shaffrey
May 30, 2006·Archives of Physical Medicine and Rehabilitation·Hui-Fen MaoTing-Ming Wang
Mar 4, 2009·The Journal of Bone and Joint Surgery. American Volume·Kathleen A HoganRichard H Gross
May 27, 2014·JBJS Reviews·Joanne H WangCraig P Eberson
Jun 21, 2019·Clinical Spine Surgery : a Spine Publication·Alejandro Peiro-GarciaFabio Ferri-de-Barros
Jan 1, 2015·Spine Deformity·J M LaMotheF Ferri-de-Barros

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