Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective?
Study Design A retrospective clinical study. Purpose To analyze the surgical outcomes of intraoperative halo-femoral traction (HFT) in patients with adolescent idiopathic scoliosis (AIS) with Cobb angles between 70° and 90° and flexibility <35%. Overview of Literature Numerous methods have been d...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2018-08-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2018-12-4-678.pdf |
| _version_ | 1818524256939540480 |
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| author | Mehmet Nuri Erdem Ismail Oltulu Sinan Karaca Seçkin Sari Mehmet Aydogan |
| author_facet | Mehmet Nuri Erdem Ismail Oltulu Sinan Karaca Seçkin Sari Mehmet Aydogan |
| author_sort | Mehmet Nuri Erdem |
| collection | DOAJ |
| description | Study Design A retrospective clinical study. Purpose To analyze the surgical outcomes of intraoperative halo-femoral traction (HFT) in patients with adolescent idiopathic scoliosis (AIS) with Cobb angles between 70° and 90° and flexibility <35%. Overview of Literature Numerous methods have been described to achieve adequate correction and successful results in the surgical treatment of AIS patients with a Cobb angle >70°. However, few studies have evaluated the results of HFT in AIS patients with Cobb angles between 70° and 90° and flexibility <35%. Methods The study comprised 24 AIS patients (18 females, six males; mean age, 17.4 years; mean preoperative Cobb angle, 80.1°; range, 70°–90°) who underwent surgery using intraoperative HFT. Neurological status was constantly assessed during the surgery using intraoperative neurophysiological monitoring. Results The mean follow-up period was 33.5 months. Radiographic outcomes demonstrated 85.7% correction of the major Cobb angle. Coronal and sagittal balance was achieved in all the patients, and shoulder levels were equalized. The traction was discontinued when a decrease in spinal cord potentials was observed during the surgery. Conclusions Intraoperative HFT is an effective and reliable method for the management of scoliosis curves between 70° and 90°. The most significant advantages of the method are avoidance of the morbidities related to anterior surgery, osteotomy, or vertebral column resection; its contribution in helping achieve adequate reduction and optimum balance by the gradually increased corrective force, lack of any need for extreme correction force during instrumentation; and the high correction rates achieved. |
| first_indexed | 2024-12-11T05:54:51Z |
| format | Article |
| id | doaj.art-ca2244443c8643f98d791531fdd02599 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-11T05:54:51Z |
| publishDate | 2018-08-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-ca2244443c8643f98d791531fdd025992022-12-22T01:18:43ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-08-0112467868510.31616/asj.2018.12.4.678917Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective?Mehmet Nuri Erdem0Ismail Oltulu1Sinan Karaca2Seçkin Sari3Mehmet Aydogan4 Department of Orthopaedics and Traumatology, Hisar Intercontinental Hospital, İstanbul, Turkey Fulya Orthopaedic and Spine Center, İstanbul, Turkey Department of Orthopaedics and Traumatology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey Fulya Orthopaedic and Spine Center, İstanbul, Turkey Fulya Orthopaedic and Spine Center, İstanbul, TurkeyStudy Design A retrospective clinical study. Purpose To analyze the surgical outcomes of intraoperative halo-femoral traction (HFT) in patients with adolescent idiopathic scoliosis (AIS) with Cobb angles between 70° and 90° and flexibility <35%. Overview of Literature Numerous methods have been described to achieve adequate correction and successful results in the surgical treatment of AIS patients with a Cobb angle >70°. However, few studies have evaluated the results of HFT in AIS patients with Cobb angles between 70° and 90° and flexibility <35%. Methods The study comprised 24 AIS patients (18 females, six males; mean age, 17.4 years; mean preoperative Cobb angle, 80.1°; range, 70°–90°) who underwent surgery using intraoperative HFT. Neurological status was constantly assessed during the surgery using intraoperative neurophysiological monitoring. Results The mean follow-up period was 33.5 months. Radiographic outcomes demonstrated 85.7% correction of the major Cobb angle. Coronal and sagittal balance was achieved in all the patients, and shoulder levels were equalized. The traction was discontinued when a decrease in spinal cord potentials was observed during the surgery. Conclusions Intraoperative HFT is an effective and reliable method for the management of scoliosis curves between 70° and 90°. The most significant advantages of the method are avoidance of the morbidities related to anterior surgery, osteotomy, or vertebral column resection; its contribution in helping achieve adequate reduction and optimum balance by the gradually increased corrective force, lack of any need for extreme correction force during instrumentation; and the high correction rates achieved.http://www.asianspinejournal.org/upload/pdf/asj-2018-12-4-678.pdfScoliosisPosterior instrumentationTractionPosterior spinal fusionSurgical outcomes |
| spellingShingle | Mehmet Nuri Erdem Ismail Oltulu Sinan Karaca Seçkin Sari Mehmet Aydogan Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? Asian Spine Journal Scoliosis Posterior instrumentation Traction Posterior spinal fusion Surgical outcomes |
| title | Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? |
| title_full | Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? |
| title_fullStr | Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? |
| title_full_unstemmed | Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? |
| title_short | Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective? |
| title_sort | intraoperative halo femoral traction in surgical treatment of adolescent idiopathic scoliosis curves between 70° and 90° is it effective |
| topic | Scoliosis Posterior instrumentation Traction Posterior spinal fusion Surgical outcomes |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2018-12-4-678.pdf |
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