Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90
Study Design Retrospective Comparative Study, Level III. Objective In patients with scoliosis >90°, cranio-femoral traction (CFT) has been shown to obtain comparable curve correction with decreased operative time and blood loss. Routine intraoperative CFT use in the treatment of AIS
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| Veröffentlicht in: | Global spine journal 2023-09, Vol.13 (7), p.1840-1848 |
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| creator | Carl, Jacob R. Pannu, Gurpal Chua, Evan Cherng-Yeh Bacon, Adam Durbin-Johnson, Blythe Javidan, Yashar Klineberg, Eric O. Roberto, Rolando F. |
| description | Study Design
Retrospective Comparative Study, Level III.
Objective
In patients with scoliosis >90°, cranio-femoral traction (CFT) has been shown to obtain comparable curve correction with decreased operative time and blood loss. Routine intraoperative CFT use in the treatment of AIS |
| doi_str_mv | 10.1177/21925682211052969 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10556895</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_21925682211052969</sage_id><sourcerecordid>2586998666</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-436bd2790f4f7586ddad173b2f195161d3ef7d4578eee4d4ab7b37d98d5d4d23</originalsourceid><addsrcrecordid>eNp1Uctu1DAUjRCIVqUfwM4SGzZp_YjteIXKqIWRWiHR2VtOfDN1ldiD7UzVP-Ez-Aa-DEdTFQHCG_ten3N0zr1V9ZbgM0KkPKdEUS5aSgnBnCqhXlTHS6_mQuGXz--WHlWnKd3jcgSVjNDX1RFrJG5apo6r75fD4HrTP6IwoK9hzs4DWvscTdhBNNntAa2i8S7UVzCFaEa0iabPLnjkPLqd47bQlyaYPIHPi86FDSOkfqnW1oWdyXeuR7d9GF1ILqHVHPeQ0A2YNEfnt-gj5AcAjzj--QMZb5HCb6pXgxkTnD7dJ9Xm6nKz-lxff_m0Xl1c1z1TItcNE52lUuGhGSRvhbXGEsk6OhDFiSCWwSBtw2ULAI1tTCc7Jq1qLbeNpeyk-nCQ3c3dBHbxXDLqXXSTiY86GKf__PHuTm_DXpehl-EqXhTePynE8G2GlPXkSvZxNB7CnDQtrpRqhRAF-u4v6H2Yoy_xNG1FEeSU4oIiB1QfQ0oRhmc3BOtl9fqf1RfO2YGTzBZ-q_6f8Avwi69E</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2860555220</pqid></control><display><type>article</type><title>Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Carl, Jacob R. ; Pannu, Gurpal ; Chua, Evan Cherng-Yeh ; Bacon, Adam ; Durbin-Johnson, Blythe ; Javidan, Yashar ; Klineberg, Eric O. ; Roberto, Rolando F.</creator><creatorcontrib>Carl, Jacob R. ; Pannu, Gurpal ; Chua, Evan Cherng-Yeh ; Bacon, Adam ; Durbin-Johnson, Blythe ; Javidan, Yashar ; Klineberg, Eric O. ; Roberto, Rolando F.</creatorcontrib><description>Study Design
Retrospective Comparative Study, Level III.
Objective
In patients with scoliosis >90°, cranio-femoral traction (CFT) has been shown to obtain comparable curve correction with decreased operative time and blood loss. Routine intraoperative CFT use in the treatment of AIS <90° has not been established definitively. This study investigates the effectiveness of intraoperative CFT in the treatment of AIS between 50° and 90°, comparing the magnitude of curve correction, blood loss, operative time, and traction-related complications with and without CFT.
Methods
73 patients with curves less than 90° were identified, 36 without and 37 with cranio-femoral traction. Neuromuscular scoliosis and revision surgery were excluded. Age, preoperative Cobb angles, bending angles, and curve types were recorded. Surgical characteristics were analyzed including number of levels fused, estimated blood loss, operative time, major curve correction (%), and degree of postoperative kyphosis.
Results
Patients with traction had significantly higher preoperative major curves but no difference in age or flexibility. Lenke 1 curves had significantly shorter operative time and improvement in curve correction with traction. Among subjects with 5 to 8 levels fused, subjects with traction had significantly less EBL. Operative time was significantly shorter for subjects with 5-8 levels and 9-11 levels fused. Curves measuring 50°-75° showed improved correction with traction.
Conclusion
Intraoperative traction resulted in shorter intraoperative time and greater correction of major curves during surgical treatment of adolescent idiopathic scoliosis less than 90°. Strong considerations should be given to use of intraoperative CFT for moderate AIS.</description><identifier>ISSN: 2192-5682</identifier><identifier>EISSN: 2192-5690</identifier><identifier>DOI: 10.1177/21925682211052969</identifier><identifier>PMID: 34704839</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Original ; Scoliosis</subject><ispartof>Global spine journal, 2023-09, Vol.13 (7), p.1840-1848</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021 2021 AO Spine, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c396t-436bd2790f4f7586ddad173b2f195161d3ef7d4578eee4d4ab7b37d98d5d4d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556895/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556895/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids></links><search><creatorcontrib>Carl, Jacob R.</creatorcontrib><creatorcontrib>Pannu, Gurpal</creatorcontrib><creatorcontrib>Chua, Evan Cherng-Yeh</creatorcontrib><creatorcontrib>Bacon, Adam</creatorcontrib><creatorcontrib>Durbin-Johnson, Blythe</creatorcontrib><creatorcontrib>Javidan, Yashar</creatorcontrib><creatorcontrib>Klineberg, Eric O.</creatorcontrib><creatorcontrib>Roberto, Rolando F.</creatorcontrib><title>Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90</title><title>Global spine journal</title><description>Study Design
Retrospective Comparative Study, Level III.
Objective
In patients with scoliosis >90°, cranio-femoral traction (CFT) has been shown to obtain comparable curve correction with decreased operative time and blood loss. Routine intraoperative CFT use in the treatment of AIS <90° has not been established definitively. This study investigates the effectiveness of intraoperative CFT in the treatment of AIS between 50° and 90°, comparing the magnitude of curve correction, blood loss, operative time, and traction-related complications with and without CFT.
Methods
73 patients with curves less than 90° were identified, 36 without and 37 with cranio-femoral traction. Neuromuscular scoliosis and revision surgery were excluded. Age, preoperative Cobb angles, bending angles, and curve types were recorded. Surgical characteristics were analyzed including number of levels fused, estimated blood loss, operative time, major curve correction (%), and degree of postoperative kyphosis.
Results
Patients with traction had significantly higher preoperative major curves but no difference in age or flexibility. Lenke 1 curves had significantly shorter operative time and improvement in curve correction with traction. Among subjects with 5 to 8 levels fused, subjects with traction had significantly less EBL. Operative time was significantly shorter for subjects with 5-8 levels and 9-11 levels fused. Curves measuring 50°-75° showed improved correction with traction.
Conclusion
Intraoperative traction resulted in shorter intraoperative time and greater correction of major curves during surgical treatment of adolescent idiopathic scoliosis less than 90°. Strong considerations should be given to use of intraoperative CFT for moderate AIS.</description><subject>Original</subject><subject>Scoliosis</subject><issn>2192-5682</issn><issn>2192-5690</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Uctu1DAUjRCIVqUfwM4SGzZp_YjteIXKqIWRWiHR2VtOfDN1ldiD7UzVP-Ez-Aa-DEdTFQHCG_ten3N0zr1V9ZbgM0KkPKdEUS5aSgnBnCqhXlTHS6_mQuGXz--WHlWnKd3jcgSVjNDX1RFrJG5apo6r75fD4HrTP6IwoK9hzs4DWvscTdhBNNntAa2i8S7UVzCFaEa0iabPLnjkPLqd47bQlyaYPIHPi86FDSOkfqnW1oWdyXeuR7d9GF1ILqHVHPeQ0A2YNEfnt-gj5AcAjzj--QMZb5HCb6pXgxkTnD7dJ9Xm6nKz-lxff_m0Xl1c1z1TItcNE52lUuGhGSRvhbXGEsk6OhDFiSCWwSBtw2ULAI1tTCc7Jq1qLbeNpeyk-nCQ3c3dBHbxXDLqXXSTiY86GKf__PHuTm_DXpehl-EqXhTePynE8G2GlPXkSvZxNB7CnDQtrpRqhRAF-u4v6H2Yoy_xNG1FEeSU4oIiB1QfQ0oRhmc3BOtl9fqf1RfO2YGTzBZ-q_6f8Avwi69E</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Carl, Jacob R.</creator><creator>Pannu, Gurpal</creator><creator>Chua, Evan Cherng-Yeh</creator><creator>Bacon, Adam</creator><creator>Durbin-Johnson, Blythe</creator><creator>Javidan, Yashar</creator><creator>Klineberg, Eric O.</creator><creator>Roberto, Rolando F.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230901</creationdate><title>Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90</title><author>Carl, Jacob R. ; Pannu, Gurpal ; Chua, Evan Cherng-Yeh ; Bacon, Adam ; Durbin-Johnson, Blythe ; Javidan, Yashar ; Klineberg, Eric O. ; Roberto, Rolando F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-436bd2790f4f7586ddad173b2f195161d3ef7d4578eee4d4ab7b37d98d5d4d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Original</topic><topic>Scoliosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carl, Jacob R.</creatorcontrib><creatorcontrib>Pannu, Gurpal</creatorcontrib><creatorcontrib>Chua, Evan Cherng-Yeh</creatorcontrib><creatorcontrib>Bacon, Adam</creatorcontrib><creatorcontrib>Durbin-Johnson, Blythe</creatorcontrib><creatorcontrib>Javidan, Yashar</creatorcontrib><creatorcontrib>Klineberg, Eric O.</creatorcontrib><creatorcontrib>Roberto, Rolando F.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carl, Jacob R.</au><au>Pannu, Gurpal</au><au>Chua, Evan Cherng-Yeh</au><au>Bacon, Adam</au><au>Durbin-Johnson, Blythe</au><au>Javidan, Yashar</au><au>Klineberg, Eric O.</au><au>Roberto, Rolando F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90</atitle><jtitle>Global spine journal</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>13</volume><issue>7</issue><spage>1840</spage><epage>1848</epage><pages>1840-1848</pages><issn>2192-5682</issn><eissn>2192-5690</eissn><abstract>Study Design
Retrospective Comparative Study, Level III.
Objective
In patients with scoliosis >90°, cranio-femoral traction (CFT) has been shown to obtain comparable curve correction with decreased operative time and blood loss. Routine intraoperative CFT use in the treatment of AIS <90° has not been established definitively. This study investigates the effectiveness of intraoperative CFT in the treatment of AIS between 50° and 90°, comparing the magnitude of curve correction, blood loss, operative time, and traction-related complications with and without CFT.
Methods
73 patients with curves less than 90° were identified, 36 without and 37 with cranio-femoral traction. Neuromuscular scoliosis and revision surgery were excluded. Age, preoperative Cobb angles, bending angles, and curve types were recorded. Surgical characteristics were analyzed including number of levels fused, estimated blood loss, operative time, major curve correction (%), and degree of postoperative kyphosis.
Results
Patients with traction had significantly higher preoperative major curves but no difference in age or flexibility. Lenke 1 curves had significantly shorter operative time and improvement in curve correction with traction. Among subjects with 5 to 8 levels fused, subjects with traction had significantly less EBL. Operative time was significantly shorter for subjects with 5-8 levels and 9-11 levels fused. Curves measuring 50°-75° showed improved correction with traction.
Conclusion
Intraoperative traction resulted in shorter intraoperative time and greater correction of major curves during surgical treatment of adolescent idiopathic scoliosis less than 90°. Strong considerations should be given to use of intraoperative CFT for moderate AIS.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34704839</pmid><doi>10.1177/21925682211052969</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2192-5682 |
| ispartof | Global spine journal, 2023-09, Vol.13 (7), p.1840-1848 |
| issn | 2192-5682 2192-5690 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10556895 |
| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Original Scoliosis |
| title | Efficacy of Routine Intraoperative Cranio-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves Measuring Between 50° and 90 |
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