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Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity

OBJECTIVE: This study aimed to investigate a new noninvasive traction method on the treatment of severe cervical kyphotic deformity. METHODS: The clinical data of patients with severe cervical kyphosis (Cobb > 40°) treated in Peking University Third Hospital from March 2004 to March 2020 were ret...

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Autores principales: Shengfa, Pan, Hongyu, Chen, Yu, Sun, Fengshan, Zhang, Li, Zhang, Xin, Chen, Yinze, Diao, Yanbin, Zhao, Feifei, Zhou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852755/
https://www.ncbi.nlm.nih.gov/pubmed/36684247
http://dx.doi.org/10.3389/fsurg.2022.1090199
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author Shengfa, Pan
Hongyu, Chen
Yu, Sun
Fengshan, Zhang
Li, Zhang
Xin, Chen
Yinze, Diao
Yanbin, Zhao
Feifei, Zhou
author_facet Shengfa, Pan
Hongyu, Chen
Yu, Sun
Fengshan, Zhang
Li, Zhang
Xin, Chen
Yinze, Diao
Yanbin, Zhao
Feifei, Zhou
author_sort Shengfa, Pan
collection PubMed
description OBJECTIVE: This study aimed to investigate a new noninvasive traction method on the treatment of severe cervical kyphotic deformity. METHODS: The clinical data of patients with severe cervical kyphosis (Cobb > 40°) treated in Peking University Third Hospital from March 2004 to March 2020 were retrospectively summarized. 46 cases were enrolled, comprising 27 males and 19 females. Fifteen patients underwent skull traction, and 31 patients underwent suspensory traction. Among them, seven used combined traction after one week of suspensory traction. Bedside lateral radiographs were taken every two or three days during traction. The cervical kyphosis angle was measured on lateral radiographs in and extended position at each point in time. The correction rate and evaluated Japanese Orthopedic Association (JOA) scoring for the function of the spinal cord were also measured. The data before and after the operation were compared with paired sample t-test or Wilcoxon signed-rank test. RESULTS: No neurological deterioration occurred during the skull traction and the cervical suspensory traction. There were 12 patients with normal neurological function, and the JOA score of the other 34 patients improved from 11.5 ± 2.8 to 15.4 ± 1.8 at the end of follow up (P < 0.05). The average kyphotic Cobb angle was 66.1° ± 25.2, 28.7° ± 20.1 and 17.4° ± 25.7 pre-traction, pre-operative, and at the final follow-up, respectively (P < 0.05). The average correction rate of skull traction and suspensory traction was 34.2% and 60.6% respectively. Among these, the correction rate of patients with simple suspensory traction was 69.3%. For patients with a correction rate of less than 40% by suspensory traction, combined traction was continued, and the correction rates after suspensory traction and combined traction were 30.7% and 67.1% respectively. CONCLUSIONS: Pre-correction by cervical suspensory traction can achieve good results for severe cervical kyphotic deformity, with no wound and an easy process. Combined traction is effective for supplemental traction after suspensory traction.
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spelling pubmed-98527552023-01-21 Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity Shengfa, Pan Hongyu, Chen Yu, Sun Fengshan, Zhang Li, Zhang Xin, Chen Yinze, Diao Yanbin, Zhao Feifei, Zhou Front Surg Surgery OBJECTIVE: This study aimed to investigate a new noninvasive traction method on the treatment of severe cervical kyphotic deformity. METHODS: The clinical data of patients with severe cervical kyphosis (Cobb > 40°) treated in Peking University Third Hospital from March 2004 to March 2020 were retrospectively summarized. 46 cases were enrolled, comprising 27 males and 19 females. Fifteen patients underwent skull traction, and 31 patients underwent suspensory traction. Among them, seven used combined traction after one week of suspensory traction. Bedside lateral radiographs were taken every two or three days during traction. The cervical kyphosis angle was measured on lateral radiographs in and extended position at each point in time. The correction rate and evaluated Japanese Orthopedic Association (JOA) scoring for the function of the spinal cord were also measured. The data before and after the operation were compared with paired sample t-test or Wilcoxon signed-rank test. RESULTS: No neurological deterioration occurred during the skull traction and the cervical suspensory traction. There were 12 patients with normal neurological function, and the JOA score of the other 34 patients improved from 11.5 ± 2.8 to 15.4 ± 1.8 at the end of follow up (P < 0.05). The average kyphotic Cobb angle was 66.1° ± 25.2, 28.7° ± 20.1 and 17.4° ± 25.7 pre-traction, pre-operative, and at the final follow-up, respectively (P < 0.05). The average correction rate of skull traction and suspensory traction was 34.2% and 60.6% respectively. Among these, the correction rate of patients with simple suspensory traction was 69.3%. For patients with a correction rate of less than 40% by suspensory traction, combined traction was continued, and the correction rates after suspensory traction and combined traction were 30.7% and 67.1% respectively. CONCLUSIONS: Pre-correction by cervical suspensory traction can achieve good results for severe cervical kyphotic deformity, with no wound and an easy process. Combined traction is effective for supplemental traction after suspensory traction. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852755/ /pubmed/36684247 http://dx.doi.org/10.3389/fsurg.2022.1090199 Text en © 2023 Shengfa, Hongyu, Yu, Fengshan, Li, Xin, Yinze, Yanbin and Feifei. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Shengfa, Pan
Hongyu, Chen
Yu, Sun
Fengshan, Zhang
Li, Zhang
Xin, Chen
Yinze, Diao
Yanbin, Zhao
Feifei, Zhou
Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title_full Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title_fullStr Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title_full_unstemmed Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title_short Effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
title_sort effect of cervical suspensory traction in the treatment of severe cervical kyphotic deformity
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852755/
https://www.ncbi.nlm.nih.gov/pubmed/36684247
http://dx.doi.org/10.3389/fsurg.2022.1090199
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