Evidence map›Paper›PMID 40186257›Full record

ArticleJournal of orthopaedic surgery and research2025

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.

Lijin Zhou, Honghao Yang, Jianqiang Wang, Yiqi Zhang, Yunsheng Wang, Yong Hai

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lijin Zhou *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China. doctorzhoulijin@163.com.
Honghao Yang *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.ORCID http://orcid.org/0000-0001-5300-1283
Jianqiang Wang *Department of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.
Yiqi ZhangDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.
Yunsheng WangDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China.
Yong HaiDepartment of Orthopedic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chaoyang District, Beijing, 100020, China. yong.hai@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-7206-325X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere rigid spinal deformities present significant challenges in correction surgery due to complexity and associated comorbidities. To mitigate the surgical risks, preoperative halo-pelvic traction (HPT) have been employed. This study aims to evaluate the effectiveness and safety of staged HPT combined with posterior spinal fusion (PSF) in the treatment of severe rigid spine deformity.

methodsThis is a prospective cohort study. From 2020 to 2022, 61 consecutive patients (mean age 26.2 years) with severe rigid spine deformity who underwent staged HPT combined with PSF with a minimum 24-month follow-up were recruited. Radiographic parameters, clinical information, pulmonary functions tests, and perioperative complications were recorded.

resultsThe mean preoperative coronal Cobb angle was 114.2° ± 38°, and the mean MK was 105.8° ± 34.7°. Following the HPT ( mean duration 19.2 weeks), the mean coronal Cobb angle were corrected to 55.3° post-traction (50.6%) and 47.4° after PSF (58.3%); the mean MK angle were corrected to 52.6° post-traction (49.5%) and 38.1° after PSF (63.4%). The overall complication rate during HPT was 16.4%, while surgery-related complications were 18.0%, with no permanent neurological deficits observed.

conclusionStaged HPT combine with PSF is effective and safe for patients with severe rigid spine deformities. HPT could mitigate the severity of spine deformity, minimize the need for invasive three-column osteotomies, and reduce the risk of complications for correction surgery.

Indexed as

Spinal CurvaturesSpinal FusionTractionAdolescentAdultCohort StudiesFemaleHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesSeverity of Illness IndexTreatment OutcomeYoung AdultEffectivenessHalo-pelvic tractionPosterior spinal fusionSafetySpinal deformity

Identifiers

PMID40186257
PMCPMC11969806

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.