Matched analysis of traction-assisted posterior spinal correction in severe scoliosis with and without syringomyelia
Preoperative traction followed by one-stage posterior correction is equally effective and safe for patients with SS-SM and SIS. The presence of syringomyelia does not adversely affect traction response or final surgical outcomes. These findings challenge the traditional view that prophylactic neurosurgical decompression is mandatory prior to scoliosis correction in SM patients, and support the feasibility of direct orthopedic intervention under strict selection criteria and neuromonitoring protocols.
Authors
- Jie Xiao (ORCID: https://orcid.org/0000-0002-4718-1174)
- Xiaobing Tian (ORCID: https://orcid.org/0000-0003-2695-0904)
- Yingsong Wang (ORCID: https://orcid.org/0000-0003-1906-3848)
- Zhihe Zhao (ORCID: https://orcid.org/0000-0003-2955-1706)
- Jingming Xie (ORCID: https://orcid.org/0000-0002-7951-0999)
- Jin J. Zhou (ORCID: https://orcid.org/0000-0001-7983-0274)
- Tingbiao Zhu
- Tao Li (ORCID: https://orcid.org/0000-0002-7988-3090)
Institutions
- Kunming Medical University (CN)
- Qujing Normal University (CN)
Publication Details
- Journal
- Journal of Orthopaedic Surgery and Research
- Published
- 2025-10-27
- DOI
- https://doi.org/10.1186/s13018-025-06331-9
- Primary Topic
- Scoliosis diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- Kunming Medical University
- Yunnan Provincial Science and Technology Department