Short-Term Preoperative Traction Method for Rigid and Severe Scoliosis

Indonesian Orthopaedic Association

Status: Completed

Conditions: Scoliosis Idiopathic

Treatments: Procedure: Preoperative traction

Study type: Observational

Funder types: Other

Identifiers

NCT04671147

IndonesianOrthopaedic

Details and patient eligibility

About

The investigators collected retrospective data of severe (>80o) and rigid scoliosis patients who underwent preoperative traction before correction surgery from 2016 to 2018. The first group consisted of patients who underwent Cotrel traction exercises and second group underwent continuous-progressively increasing Skull Tongs Femoral Traction (STFT) traction. Posterior fusion was performed in all patients. Intraoperative parameters (blood loss, operation time and level instrumented) and radiologic change (initial, post-traction and postoperative Cobb Angle) was evaluated and analyzed

Enrollment: 30 patients

Sex: All

Ages: 10 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• adolescence/adult idiopathic scoliosis;
• severe and rigid scoliosis (defined as Cobb angle more than 80° and flexibility index less than 25%);
• either skull tongs-femoral traction or Cotrel longitudinal traction used in the preoperative time period

Exclusion criteria

• other types of scoliosis (neuromuscular scoliosis, congenital scoliosis, etc.)
• intradural abnormalities (diastomatomyelia, tethered cord, etc)
• history of previous spine surgery

Trial design

30 participants in 2 patient groups

Skull tong femoral traction

Treatment:

Procedure: Preoperative traction

Cotrell longitudinal traction

Treatment:

Procedure: Preoperative traction