Intraoperative Skull-Femoral Traction in Posterior Spinal Arthrodesis for Adolescent Idiopathic Scoliosis

Cunha, Rachael J. Da; Sayegh, Samir Al; LaMothe, Jeremy M.; Letal, Michael; Johal, Herman; Parsons, David; Ferri-de-Barros, Fabio

doi:10.1097/brs.0000000000000711

Cited by 12 publications

(9 citation statements)

References 20 publications

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“…We have taken the first step by studying NSD in a simulation labo ratory, and our pilot data support our clinical findings. 5 Affiliations: From the Cumming School of Medicine, University of Cal gary, Calgary, Alta; and the Department of Surgery, Division of Pediatric Orthopedic Surgery, Alberta Children's Hospital, Calgary, Alta.…”

Section: Resultsmentioning

confidence: 99%

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Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Bourget-Murray

Ferri-de-Barros

2019

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Section: Resultsmentioning

confidence: 99%

“…During the same time frame (2010-2015), an independent audit of surgical site spinal infections at our institution showed a relatively lower incidence of infections than reported in the current literature. 5…”

Section: Developmentmentioning

confidence: 99%

Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Bourget-Murray

Ferri-de-Barros

2019

cjs

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“…In addition to large curve, significant pulmonary compromise and neurological deficit would also place patients under risks of surgical complication [ 2 – 5 ]. In the past, multiple forms of traction were employed to increase correction of curve, improve pulmonary function and save neurological function before surgery [ 6 – 9 ]. The development of segmental instrumentation and aggressive osteotomies largely improved correction of severe rigid scoliosis and kyphosis [ 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The development of segmental instrumentation and aggressive osteotomies largely improved correction of severe rigid scoliosis and kyphosis [ 10 – 12 ]. However, traction still has its role in improving pulmonary function and minimizing neurological complications [ 9 , 13 , 14 ]. Moreover, traction could provide wide release of spine that increase flexibility of both primary and secondary curves; whereas, osteotomies could only release a limited range of spine.…”

Section: Introductionmentioning

confidence: 99%

Skull-femoral traction after posterior release for correction of adult severe scoliosis: efficacy and complications

Qiao

Xiao

et al. 2018

BMC Musculoskelet Disord

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BackgroundIt is a great challenge for spine surgeons to correct severe rigid scoliosis. We developed a three- staged correction (one stage posterior release and screw placement, two stage skull-femoral traction and three stage posterior instrumentation) for adult severe scoliosis. The objective of this study is to investigate safety and efficacy of a three- staged correction for adult severe scoliosis.MethodsA retrospective review was performed for patients with severe scoliosis receiving three- staged correction (one stage posterior release and screw placement, two stage skull-femoral traction and three stage posterior instrumentation) from June 2001 to October 2014. The inclusion criteria were as follows: [1] age more than 18 years; [2] main curve larger than 90°; [3] a minimum 2-year follow-up. Patients were excluded if they had a history of surgery or anterior release or receiving three column osteotomies.ResultsA total of 63 patients were included (37 female and 26 male), with a mean age of 22.7 years (range: 18–30 years) and follow-up of 42.6 months (range: 24–108 months). The aetiology was congenital in 27 patients, neuromuscular in 18, idiopathic in 11, neurofibromatosis-1 in 4 and Marfan syndrome in 3. The mean traction weight was 28.4 kg (range: 18–32 kg), equal to 57.2% of patients’ body weight (range: 42.7–72.3%). The mean traction time was 22.7 days (range: 12–44 days). Postoperative correction rate was 55% (range: 38–78%) for scoliosis and 51% (range: 32–75%) for kyphosis. Contribution of traction to correction was 51% (range: 36–70%) for scoliosis and was 43% (range: 34–55%) for kyphosis.ConclusionsThree- staged correction (one stage posterior release and screw placement, two stage skull-femoral traction and three stage posterior instrumentation) could effectively correct adult severe scoliosis. The incidence of complications of skull-femoral traction was not low, but transient and could be successfully managed.

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“…Da Cunha et al [4] оперировали 72 пациентов с идиопатическим сколиозом позвоночника (45 -с ИОТ, 27 -без ИОТ). Использовали скелетное вытяжение, тяга не превышала 50 % от веса тела.…”

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Intraoperative Traction in Surgery for Adolescent Idiopathic Scoliosis

Mikhaylovskiy¹,

Novikov²,

Sadovoy³

et al. 2017

Hir. pozvonoč.

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Objective. To analyze the effectiveness of intraoperative traction in the treatment of adolescent idiopathic scoliosis, including in relation to the initial magnitude of scoliotic curve. Material and Methods. Data on patients meeting the following criteria were selected from the electronic database and analyzed: idiopathic scoliosis (Lenke types I, III, V); age 10 to 20 years; surgery performed through posterior approach; hook or hybrid (using of pedicle screws only in the lumbar spine, at 2-4 levels) fixation; no previous history of spine surgery; and follow-up period at least two years. Results. Flattening of thoracic kyphosis and alignment of lumbar lordosis during surgical correction were significantly more pronounced in the traction group. Postoperative changes in the sagittal contour of the thoracic and lumbar spine did not differ significantly between the traction and no-traction groups. Intraoperative traction was associated with significantly reduced blood loss, though operation time decreased statistically insignificantly. Normalization of the frontal imbalance in the immediate and long-term postoperative periods was different in the two groups, but these differences were insignificant. Intraoperative traction was most effective in the group with deformities of 50° to 75°, although it also increased the achieved correction in patients with scoliosis of a smaller and greater magnitude. Conclusion. The operation performed with intraoperative traction allows achieving greater correction during an intervention and smaller loss of correction during a long follow-up period than that without a distraction influence. This applies equally to both primary and secondary curvatures.

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Intraoperative Skull-Femoral Traction in Posterior Spinal Arthrodesis for Adolescent Idiopathic Scoliosis

Abstract: 4.

Cited by 12 publications

References 20 publications

Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Skull-femoral traction after posterior release for correction of adult severe scoliosis: efficacy and complications

Intraoperative Traction in Surgery for Adolescent Idiopathic Scoliosis

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