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dc.contributor.authorHamzaoglu, Azmi
dc.contributor.authorOzturk, Cagatay
dc.contributor.authorAydogan, Mehmet
dc.contributor.authorTezer, Mehmet
dc.contributor.authorAksu, Neslihan
dc.contributor.authorBruno, Marco B.
dc.date.accessioned2019-08-13T12:10:23Z
dc.date.accessioned2019-08-13T16:05:24Z
dc.date.available2019-08-13T12:10:23Z
dc.date.available2019-08-13T16:05:24Z
dc.date.issued2008
dc.identifier.issn0362-2436
dc.identifier.issn1528-1159
dc.identifier.urihttps://dx.doi.org/10.1097/BRS.0b013e31816c8b17
dc.identifier.urihttp://hdl.handle.net/11446/3481
dc.descriptionWOS: 000255290300008en_US
dc.descriptionPubMed ID: 18427319en_US
dc.description.abstractStudy Design. Retrospective clinical study. Objective. To report the results of surgical correction achieved by intraoperative halo-femoral traction and posterior only pedicle screw instrumentation in severe scoliosis (scoliosis greater than 100). Summary of Background Data. Although previous reports show the effectiveness of preoperative halo traction in the treatment of severe spinal deformity, the intraoperative use of halo-femoral traction in conjunction with posterior pedicle screw instrumentation has never been reported in patients with severe spinal deformity. Methods. A total of 15 consecutive patients with severe (>100 degrees) thoracic idiopathic scoliosis and/or kyphoscoliosis operated by using intraoperative halo-femoral traction and posterior only pedicle screw instrumentation were included in the study. Subjects were analyzed by age at date of examination, gender, major coronal curve magnitude, major compensatory coronal curve magnitude, major sagittal curve magnitude, shoulder imbalance, and preoperative vital capacity of the lungs. Halo-traction related complications and short- and long-term complications were noted in each case. Results. The average age at the time of surgery was 17.8 years ( range, 16-19). There were 4 males and 11 females. The average improvement was 51% in the major thoracic curve, 33% in the compensatory lumbar curve, and 53% in the major sagittal curve. The average follow-up was 56 ( range, 24-96) months. Loss of correction averaged 4 for major thoracic curves and 2 for thoracic kyphosis based on measurements at the final follow-up date. Conclusion. The use of intraoperative halo-femoral traction together with the wide facet resection and posterior release gradually provide a good correction and balance maintained by pedicle screw instrumentation. Intraoperative halo-femoral traction not only elongates spinal column but also elongates the thoracic cavity improving the compromised pulmonary function.en_US
dc.language.isoengen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.isversionof10.1097/BRS.0b013e31816c8b17en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsevere scoliosisen_US
dc.subjectintraoperative halo-femoral tractionen_US
dc.subjectsurgical treatmenten_US
dc.subjectposterior surgeryen_US
dc.titlePosterior only pedicle screw instrumentation with intraoperative halo-femoral traction in the surgical treatment of severe scoliosis (> 100 degrees)en_US
dc.typearticleen_US
dc.relation.journalSPINEen_US
dc.contributor.departmentDBÜen_US
dc.identifier.issue9en_US
dc.identifier.volume33en_US
dc.identifier.startpage979en_US
dc.identifier.endpage983en_US
dc.contributor.authorID0000-0003-3133-206Xen_US
dc.contributor.authorID0000-0002-8608-0114en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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