SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis.
Synthesis in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 29 citations in OpenAlex.
- Is there an added benefit of intraoperative traction to posterior spinal fusion for adolescent idiopathic scoliosis? A systematic review and meta-analysis.Spine deformity · 2026Article
- Preoperative Traction for Pediatric Spinal Deformity Correction: A Technical Review.Annals of biomedical engineering · 2026Review
- Role of temporary internal distraction in correcting severe and rigid spinal deformities: a systematic review.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 · 2026Review
- Radiographic assessment and risk model of atlantoaxial instability induced by Halo-pelvic traction in treating severe spinal deformity.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 · 2026Article
- Diminishing usage of halo-vest orthoses: Characterization of evolving trends.North American Spine Society journal · 2026Article
- Diplopia and tongue deviation following halo-pelvic traction for severe congenital scoliosis: a case report.Frontiers in pediatrics · 2026Article
- Application value of halo‑pelvic traction in the treatment of severe rigid spinal deformity.Spine deformity · 2026Article
- Article
- Severe scoliotic deformities: results of surgical treatment and complications in a multicentric series of children and young adults.Spine deformity · 2025Article
- Impact of halo-pelvic traction duration on pulmonary improvement quantified by pulmonary function tests and three-dimensional lung reconstruction in severe rigid kyphoscoliosis: a prospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Multistage correction of severe kyphoscoliosis and pulmonary compromise in adults through combined halo-pelvic traction and posterior spinal techniques.Scientific reports · 2025Article
- Clinical effects of modified Halo-pelvic traction in patients with severe spinal deformities and respiratory disorders.Journal of orthopaedic surgery and research · 2025Review
- The effectiveness and safety of staged halo-pelvic traction combined with posterior spinal fusion in the treatment of severe rigid spine deformity: a prospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Comparison Between a State-of-the-Art Mechanical 3D Scoliosis Correction Protocol and the Schroth Exercise on Spinal Flexibility of Patients With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial.Archives of rehabilitation research and clinical translation · 2025Article
- Pre-operative Traction in Severe Rigid Kyphoscoliosis - CT-based Navigation Pelvic Pin Insertion in Halo-Pelvic Traction: A Case Report.Malaysian orthopaedic journal · 2025Article
- Preoperative halo-pelvic traction leading to near-complete airway obstruction in a child with severe thoracic lordosis and scoliosis: a case report.BMC anesthesiology · 2025Article
- The establishment and biomechanical analysis of finite element model for halo-pelvic traction in scoliosis correction.Frontiers in physiology · 2025Article
- Two stage posterior surgery using temporary Magnetically Controlled Growing Rod for severe and rigid Adolescent Idiopathic Scoliosis: A retrospective single-centre cohort study.Brain & spine · 2025Article
- Exploring the use of biphasic quantitative thoracic computed tomography to evaluate halo-pelvic traction in managing severe adolescent idiopathic scoliosis.Quantitative imaging in medicine and surgery · 2024Article
- Surgical Treatment Strategies for Severe and Neglected Spinal Deformities in Children and Adolescents without the Use of Radical Three-Column Osteotomies.Journal of clinical medicine · 2024Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo provide better evidence of the efficacy and safety of preoperative halo-pelvic traction on the improvements of deformity and pulmonary functions in patients with severe scoliosis.
methodsElectronic database searches were conducted including the Cochrane Library, PubMed, Web of Science and Embase. All studies of halo-pelvic traction for the management of severe spinal deformity were included. We referred to a list of four criteria developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the quality of included studies. The meta-analysis was performed using RevMan 5.4 software.
resultsBased on the study selection criteria, a total of eight articles consisting of a total of 210 patients were included. Statistically significant differences were found in coronal Cobb angle (P < 0.001), sagittal Cobb angle (P < 0.001) and height (P < 0.001) between pre- and post-traction. Sensitivity analysis was conducted, and there were substantial changes in heterogeneity with preoperative thoracoplasty subgroup in coronal Cobb angle (P < 0.001). Three trials including 74 subjects reported FVC and FEV1 predicted value between pre- and post-traction. There were statistically significant differences in FVC, FVC%, FEV1 and FEV1% (P < 0.001). The complication rate was 6.6-26.7%, and symptoms disappeared after reasonable traction strategy and intensive care.
conclusionsPreoperative halo-pelvic traction achieved significant improvements in spinal deformity and pulmonary functions, with minor and curable complications. Thus, it is an effective and safe solution before surgery and may be the optimal choice for severe scoliosis. In light of the heterogeneity and limitations, future researches are needed to better determine the long-term efficacy on comprehensive assessment and to explore the appropriate traction system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.