Short-Term Preoperative Traction Method for Rigid and Severe Scoliosis

Indonesian Orthopaedic Association30 enrolled

Overview

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

Study Type

OBSERVATIONAL

Enrollment

Conditions

Scoliosis Idiopathic

Interventions

Preoperative tractionPROCEDURE

Compare two methods of preoperative traction (Cotrel traction exercises and skull tongs femoral traction)

Eligibility

Sex: ALLMin age: 10 YearsMax age: 40 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Radiologic change

Preoperative, post traction and postoperative xray

Time frame: - Baseline - Immediately after 2 weeks of preoperative traction - immediately after the correction surgery

Secondary Outcomes

Blood loss

The amount of blood loss during the correction surgery

Time frame: Intraoperative

Duration of surgery

The time required to perform the correction surgery

Time frame: Intraoperative

Number of instrumented levels

the number of vertebrae instrumented during the correction surgery

Time frame: Intraoperative

Data from ClinicalTrials.gov

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