The usefulness of employing an electronic traction table to determine flexibility in adolescent idiopathic scoliosis

Erman Ceyhan, Onder Murat Delialioglu, Kenan Bayrakci, Bulent Daglar, Alper Deveci, Ugur Gunel
2015 Turkish Neurosurgery  
a template of the fusion levels, preoperative assessment of spinal flexibility is critical. Several techniques are referenced in the literature for assessing spinal flexibility (1), including suspension test, push traction films and traction radiographs (2,8). However, no single equipment exists that offers comparable utility in all patients and positions. This study aims to present a new piece of equipment developed for assessing spinal flexibility at different force levels, and to demonstrate
more » ... its efficacy for the treatment of AIS. This █ INTRODUCTION Adolescent idiopathic scoliosis (AIS) is a 3-dimensional spinal deformity that most commonly occurs during growth (1). The success of surgical management depends on the selection of fusion levels due to the importance of preserving motion segments (11, 19) . The selection of the fusion levels is still a controversial issue (3,6). Several preoperative planning methods have been described in the literature but surgical management is not always sufficiently addressed (18). When creating AIm: The aim of the study was to develop new equipment for the assessment of the flexibility of the spine with different forces. This new system should provide a different perspective to adolescent idiopathic scoliosis (AIS) for the selection of fusion levels and surgical success. mATERIAl and mEThODS: Eighteen patients suffering from AIS who were scheduled to undergo posterior instrumented spinal fusion in our clinic were recruited in this study. The Electronic Traction Table (ETT) that was designed in our clinic was used to evaluate the radiogical and clinical parameters of the spine. RESUlTS: The significant prescriptive angle of major Cobb angles between postoperative angles were longitudinal traction and lateral pushing Cobb angles. Longitudinal traction and lateral pushing angles were more correlated with correction ratios. There was a significant difference between longitudinal traction minor Cobb angle, longitudinal traction lateral pushing minor Cobb angle and postoperative minor Cobb angles. CONClUSION: The deformity is needed to balance both tractional and rotational forces and useful technique to evaluate curve flexibility before the operation. Electronic traction table is a new device for determining preoperative flexibility with longitudinal traction and lateral pushing radiographs. It can be useful for choosing selective fusion levels at the proximal and distal end of the vertebral column.
doi:10.5137/1019-5149.jtn.15599-15.1 pmid:27593786 fatcat:j34xqq6zxzelpl34wwzpbte3wy