The use of traction in the treatment of severe spinal deformity

Paul David Sponseller, Ryan K. Takenaga, Peter Newton, Oheneba Boachie, Jack Flynn, Lynn Letko, Randal Betz, Keith Bridwell, Munish Gupta, Michelle Marks, Tracey Bastrom

Research output: Contribution to journalArticle

Abstract

Study Design. Multicenter, retrospective, nonrandomized comparison group study of patients with severe scoliosis and kyphosis treated after 1995 with halo-gravity traction and without halo-gravity traction before definitive fusion. Objective. Compare surgical correction of severe spine deformity with preoperative halo traction and without preoperative traction. Summary of Background Data. Prior studies have demonstrated that halo traction is a safe, well-tolerated method of applying gradual, sustained traction to maximize operative correction in patients with severe idiopathic scoliosis (IS) and kyphosis. However, these studies lack a comparison control group and study only a relatively small number of patients with IS. Methods. Fifty-three patients with severe scoliosis or kyphosis were studied using hospital records, standing preoperative, traction, postoperative, and final radiographs. Thirty were treated with traction and 23 were treated without traction. Patients within each group were analyzed based on demographics, diagnosis, perioperative, and radiographic data. In addition, patients were evaluated based on diagnosis, specifically whether patients had adolescent idiopathic scoliosis. Results. Within the entire study population, there was no statistically significant difference in main coronal curve correction (62% vs. 59%), operative time, blood loss, and total complication rate (27% vs. 52%). However, the nontraction group underwent vertebral column resection more often (30% vs. 3%, P = 0.015). The traction group had a statistically significant increase in average hospital stay (36 vs. 14 days) (P = 0.011). Analysis of the 23 patients with adolescent idiopathic scoliosis also showed no statistically significant differences in curve correction, blood loss, or complications. Conclusion. Our study shows that patients with halo traction less frequently had a vertebral body resection, but achieved comparable deformity correction.

Original languageEnglish (US)
Pages (from-to)2305-2309
Number of pages5
JournalSpine
Volume33
Issue number21
DOIs
StatePublished - Oct 1 2008

Fingerprint

Traction
Scoliosis
Kyphosis
Therapeutics
Gravitation
Spine
Hospital Records
Operative Time
Length of Stay
Demography
Control Groups

Keywords

  • Adolescent idiopathic scoliosis
  • Halo traction
  • Kyphosis
  • Scoliosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Sponseller, P. D., Takenaga, R. K., Newton, P., Boachie, O., Flynn, J., Letko, L., ... Bastrom, T. (2008). The use of traction in the treatment of severe spinal deformity. Spine, 33(21), 2305-2309. https://doi.org/10.1097/BRS.0b013e318184ef79

The use of traction in the treatment of severe spinal deformity. / Sponseller, Paul David; Takenaga, Ryan K.; Newton, Peter; Boachie, Oheneba; Flynn, Jack; Letko, Lynn; Betz, Randal; Bridwell, Keith; Gupta, Munish; Marks, Michelle; Bastrom, Tracey.

In: Spine, Vol. 33, No. 21, 01.10.2008, p. 2305-2309.

Research output: Contribution to journalArticle

Sponseller, PD, Takenaga, RK, Newton, P, Boachie, O, Flynn, J, Letko, L, Betz, R, Bridwell, K, Gupta, M, Marks, M & Bastrom, T 2008, 'The use of traction in the treatment of severe spinal deformity', Spine, vol. 33, no. 21, pp. 2305-2309. https://doi.org/10.1097/BRS.0b013e318184ef79
Sponseller PD, Takenaga RK, Newton P, Boachie O, Flynn J, Letko L et al. The use of traction in the treatment of severe spinal deformity. Spine. 2008 Oct 1;33(21):2305-2309. https://doi.org/10.1097/BRS.0b013e318184ef79
Sponseller, Paul David ; Takenaga, Ryan K. ; Newton, Peter ; Boachie, Oheneba ; Flynn, Jack ; Letko, Lynn ; Betz, Randal ; Bridwell, Keith ; Gupta, Munish ; Marks, Michelle ; Bastrom, Tracey. / The use of traction in the treatment of severe spinal deformity. In: Spine. 2008 ; Vol. 33, No. 21. pp. 2305-2309.
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abstract = "Study Design. Multicenter, retrospective, nonrandomized comparison group study of patients with severe scoliosis and kyphosis treated after 1995 with halo-gravity traction and without halo-gravity traction before definitive fusion. Objective. Compare surgical correction of severe spine deformity with preoperative halo traction and without preoperative traction. Summary of Background Data. Prior studies have demonstrated that halo traction is a safe, well-tolerated method of applying gradual, sustained traction to maximize operative correction in patients with severe idiopathic scoliosis (IS) and kyphosis. However, these studies lack a comparison control group and study only a relatively small number of patients with IS. Methods. Fifty-three patients with severe scoliosis or kyphosis were studied using hospital records, standing preoperative, traction, postoperative, and final radiographs. Thirty were treated with traction and 23 were treated without traction. Patients within each group were analyzed based on demographics, diagnosis, perioperative, and radiographic data. In addition, patients were evaluated based on diagnosis, specifically whether patients had adolescent idiopathic scoliosis. Results. Within the entire study population, there was no statistically significant difference in main coronal curve correction (62{\%} vs. 59{\%}), operative time, blood loss, and total complication rate (27{\%} vs. 52{\%}). However, the nontraction group underwent vertebral column resection more often (30{\%} vs. 3{\%}, P = 0.015). The traction group had a statistically significant increase in average hospital stay (36 vs. 14 days) (P = 0.011). Analysis of the 23 patients with adolescent idiopathic scoliosis also showed no statistically significant differences in curve correction, blood loss, or complications. Conclusion. Our study shows that patients with halo traction less frequently had a vertebral body resection, but achieved comparable deformity correction.",
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AU - Betz, Randal

AU - Bridwell, Keith

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