ArticleBMC surgery2024
Preoperative halo-gravity traction combined with one-stage posterior spinal fusion surgery following for severe rigid scoliosis with pulmonary dysfunction: a cohort study.
Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pulling toward safety: a systematic review of preoperative halo-gravity and halo-femoral related complications in spinal deformity.Spine deformity · 2026Pooled it
- Traditional Chinese Medicine for the prevention and treatment of adolescent idiopathic scoliosis: scientific understanding and a multimodal therapeutic approach.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2026Review
- Eccentric cranial traction combined with concave-side distraction: a novel and effective management for correcting congenital cervical scoliosis.Spine deformity · 2026Article
- Preoperative Traction for Pediatric Spinal Deformity Correction: A Technical Review.Annals of biomedical engineering · 2026Review
- Preoperative Halo Traction Versus Direct Posterior Fusion in Severe Adolescent Idiopathic Scoliosis: A Comparative Study.Journal of clinical medicine · 2025Article
- Halo gravity traction for pediatric scoliosis and kyphoscoliosis: A review of current evidence and best practices.World journal of orthopedics · 2025Review
- Perioperative Anesthetic Management in Pediatric Scoliosis Surgery: A Narrative Review with Focus on Neuromuscular Disorders.Children (Basel, Switzerland) · 2025Review
- Severe rigid scoliosis: Evaluating the role of anterior release and its impact on pulmonary function.Journal of clinical orthopaedics and trauma · 2025Article
- Management of Severe Rigid Scoliosis: Best practices and controversies.Journal of clinical orthopaedics and trauma · 2025Article
- The impact of halo-pelvic traction on deformity correction and bone mineral density in patients with severe spine deformity.Journal of orthopaedic surgery and research · 2025Article
- Impact of Posterior Spinal Fusion on Pulmonary Function in Patients With Severe Adolescent Idiopathic Scoliosis (Major Cobb Angle ≥90°).JB & JS open accessArticle
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5 authors.
Funding
Abstract
backgroundTo assess the efficacy of preoperative halo-gravity traction (HGT) in treating severe spinal deformities, evaluating radiological outcomes, pulmonary function, and nutritional status.
methodsThis study retrospectively included 33 patients with severe spinal deformity who were admitted to our department from April 2018 to January 2022. All the patients underwent HGT prior to the posterior spinal fusion corrective surgery, with no patients having undergone anterior or posterior release procedures. The correction of deformity, pulmonary function tests (PFTs), and nutritional status data were collected and analyzed before and after HGT.
resultsA total of 33 patients (9 males, 24 females) were finally included in this study with an average age of 17.79 ± 7.96 (range 12-29) years. Among them, 20 patients were aged ≤ 16 years. The traction weight started from 1.5 kg and raised to 45.2 ± 13.2% of body weight on average progressively, with the average traction duration of 129 ± 63 days. After traction, the main curve was corrected from an average of 120.66 ± 3.89° to 94.88 ± 3.35°, and to 52.33 ± 22.36° (53%) after surgery(P < 0.05). PFTs also showed a significant increase in FVC%, FEV1%, and MEF% after traction [43.46 ± 14.76% vs. 47.33 ± 16.04%, 41.87 ± 13.68% vs. 45.19 ± 15.57%, and 40.44 ± 15.87% vs. 45.24 ± 17.91%, p < 0.05]. Total protein, albumin, and BMI were used as indicators of nutritional status. TP and albumin were significantly improved after traction, from 67.24 ± 5.43 g/L to 70.68 ± 6.98 g/L and 42.40 ± 3.44 g/L 45.72 ± 5.23 g/L, respectively(P < 0.05). No significant difference was found in deformity correction and lung function improvement between patients with traction for more or less than three months (p > 0.05). Two patients developed transient brachial plexus palsy during traction.
conclusionsHalo-gravity traction can partially correct spinal deformity, enhance pulmonary function. And HGT has been shown to facilitate an improved nutritional status in these patients. It could be used as a preoperative adjuvant treatment for severe spinal deformity. However, according to the study, a traction period longer than three months may not be necessary.
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