The Effect of Intraoperative Traction During Posterior Spinal Instrumentation and Fusion for Adolescent Idiopathic Scoliosis

Mac-Thiong, Jean-Marc; Poitras, Benoît; Rivard, Charles‐Hilaire; Joncas, Julie

doi:10.1097/01.brs.0000131421.66635.af

Cited by 22 publications

(14 citation statements)

References 26 publications

(28 reference statements)

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“…Intraoperative traction All published evidence concerning intraoperative traction in AIS surgery applies to large rigid curves recommend that it not be applied as a routine care procedure [21][22][23][24].…”

Section: Optimal (84 %)mentioning

confidence: 99%

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

et al. 2014

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Purpose The surgical management of adolescent idiopathic scoliosis (AIS) has seen many developments in the last two decades. Little high-level evidence is available to support these changes and guide treatment. This study aimed to identify optimal operative care for adolescents with AIS curves between 40°and 90°Cobb angle. Methods From July 2012 to April 2013, the AOSpine Knowledge Forum Deformity performed a modified Delphi survey where current expert opinion from 48 experienced deformity surgeons, representing 29 diverse countries, was gathered. Four rounds were performed: three web-based surveys and a final face-to-face meeting. Consensus was achieved with C70 % agreement. Data were analyzed qualitatively and quantitatively.Results Consensus of what constitutes optimal care was reached on greater than 60 aspects including: preoperative radiographs; posterior as opposed to anterior (endoscopic) surgical approaches; use of intraoperative spinal cord monitoring; use of local autologous bone (not iliac crest) for grafts; use of thoracic and lumbar pedicle screws; use of titanium anchor points; implant density of \80 % for 40°-70°curves; and aspects of postoperative care. Variability in practice patterns was found where there was no consensus. In addition, there was consensus on what does not constitute optimal care, including: routine pre-and intraoperative traction; routine anterior release; use of bone morphogenetic proteins; and routine postoperative CT scanning. operative care for adolescents with AIS. In the absence of current high-level evidence, at present, these expert opinion findings will aid health care providers worldwide define appropriate care in their regions. Areas with no consensus provide excellent insight and priorities for future research.

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Section: Optimal (84 %)mentioning

confidence: 99%

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

et al. 2014

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“…Mac-Thiong et al 13 showed 40 patients with adolescent idiopathic scoliosis who had intraoperative traction using a head halter combined with lower extremity skin traction. They found no difference in correction of the major curve from those patients without traction.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Patients With Nonambulatory Neuromuscular Scoliosis Surgically Treated to the Pelvis With Intraoperative Halo-Femoral Traction

Takeshita¹,

Lenke²,

Bridwell³

et al. 2006

Spine

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“…20 Although internal geometry was not directly measured, the emphasis was instead on trunk deformity measures, and the data collected are still useful as correlations have been found between the internal and external geometry. 21,22 Another limitation was the limited sample size. When comparing our data on the R-H frame to 2 similar studies (total of 52 patients), 12,14 there was no significant difference in any of the common trunk geometry indices, showing that our 12 cases are representative of a larger scoliotic population.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Positioning of Scoliotic Patients During Spine Instrumentation Surgery

Duke

Aubin²,

Dansereau³

et al. 2009

Journal of Spinal Disorders &Amp; Techniques

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The Effect of Intraoperative Traction During Posterior Spinal Instrumentation and Fusion for Adolescent Idiopathic Scoliosis

Cited by 22 publications

References 26 publications

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

Analysis of Patients With Nonambulatory Neuromuscular Scoliosis Surgically Treated to the Pelvis With Intraoperative Halo-Femoral Traction

Dynamic Positioning of Scoliotic Patients During Spine Instrumentation Surgery

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