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Purpose <p>Severe pediatric spinal deformities often require preoperative traction to improve surgical safety and correction. This review examines the burden of deformities, current surgical approaches, and traction technologies to identify challenges and opportunities for improvement.</p> Methods <p>A two-stage literature review was conducted, first assessing the burden and surgical management of significant and severe pediatric spinal deformities, then focusing on traction modalities and associated technologies.</p> Results <p>Three primary traction approaches, halo gravity, halo pelvic, and halo femoral, were evaluated in addition to some recent alternative approaches. While clinically effective, their application remains highly variable in force delivery and inpatient protocols.</p> Conclusion <p>Preoperative traction remains the gold standard for severe pediatric spinal deformities, but current practices are inconsistent in force application. Standardization and modernization are needed to optimize outcomes and improve patient quality of life.</p>

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Preoperative Traction for Pediatric Spinal Deformity Correction: A Technical Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月14日

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  • Samuel Wilcox,
  • Megan Saalwaechter,
  • Pavan Induraj,
  • Brian Emling,
  • Richard Welling,
  • Colleen Coulter,
  • Brian Giavedoni,
  • Michael Schmitz,
  • Yue Chen

摘要

Purpose

Severe pediatric spinal deformities often require preoperative traction to improve surgical safety and correction. This review examines the burden of deformities, current surgical approaches, and traction technologies to identify challenges and opportunities for improvement.

Methods

A two-stage literature review was conducted, first assessing the burden and surgical management of significant and severe pediatric spinal deformities, then focusing on traction modalities and associated technologies.

Results

Three primary traction approaches, halo gravity, halo pelvic, and halo femoral, were evaluated in addition to some recent alternative approaches. While clinically effective, their application remains highly variable in force delivery and inpatient protocols.

Conclusion

Preoperative traction remains the gold standard for severe pediatric spinal deformities, but current practices are inconsistent in force application. Standardization and modernization are needed to optimize outcomes and improve patient quality of life.