ArticleBMC musculoskeletal disorders2018
Skull-femoral traction after posterior release for correction of adult severe scoliosis: efficacy and complications.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- How Does Pulmonary Function Change in Patients With Severe Thoracic Scoliosis 2 Years After One-Stage Low-Grade Osteotomy and Posterior Corrective Surgery?Orthopaedic surgery · 2026Article
- Surgical management of severe neglected adult idiopathic scoliosis: A review article on challenges and contemporary treatment strategies.Journal of clinical orthopaedics and trauma · 2025Article
- The use of skin traction as an intraoperative adjunct for correction during pediatric neuromuscular scoliosis correction.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 · 2025Article
- Multi-rod posterior correction only with halo-femoral traction for the management of adult neuromuscular scoliosis (> 100°) with severe pelvic obliquity: a minimum 5-year follow-up.Journal of orthopaedic surgery and research · 2023Article
- Apical region correction and global balance: a 3-rods surgical strategy for the treatment of severe and rigid scoliosis.BMC musculoskeletal disorders · 2022Article
- [Comparison of radiological changes after Halo-pelvic traction with posterior spinal osteotomy versus simple posterior spinal osteotomy for severe rigid spinal deformity].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
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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