{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:23:08Z","timestamp":1747196588355,"version":"3.40.5"},"reference-count":36,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Scientific Foundation of China","doi-asserted-by":"crossref","award":["82260431"],"award-info":[{"award-number":["82260431"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Basic plan project of Guizhou Provincial Science and Technology Department","award":["ZK [2022] Normal 247"],"award-info":[{"award-number":["ZK [2022] Normal 247"]}]},{"name":"Guizhou Province Science and Technology Support Plan","award":["Guizhou Science and Technology Cooperation Support [2023] General 196"],"award-info":[{"award-number":["Guizhou Science and Technology Cooperation Support [2023] General 196"]}]},{"name":"Guizhou Provincial People's Hospital","award":["GZSYBS [2021] 05"],"award-info":[{"award-number":["GZSYBS [2021] 05"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study aimed to evaluate the safety and efficacy of skull-femoral traction followed by osteotomy correction in patients with severe spinal scoliosis and split cord malformation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We retrospectively analyzed ten cases of severe spinal scoliosis with Pang I type split cord malformation treated between August 2012 and August 2023. Patients underwent skull-femoral traction prior to osteotomy correction. We assessed changes in height, weight, coronal and sagittal Cobb\u2019s angles, and physiological indicators such as vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and blood gas levels before, during, and after treatment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Traction duration ranged from 9 to 19 days, with height and weight showing significant increases post-treatment. The coronal Cobb\u2019s angle improved from pre-treatment to post-corrective surgery and remained stable at the final follow-up. Similar improvements were observed in the sagittal plane. Physiological indicators such as VC, FVC, and FEV1, as well as blood gas levels, normalized after treatment. Nutritional status, indicated by triceps skinfold thickness, albumin, and transferrin concentrations, also improved. No neurological complications or device-related complications occurred during or after treatment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Skull-femoral traction followed by osteotomy correction is a safe and effective treatment for severe spinal scoliosis with split cord malformation, offering an alternative to high-risk procedures.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0309646","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T17:35:02Z","timestamp":1726162502000},"page":"e0309646","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Skull-femoral traction followed by osteotomy correction is a safe and effective treatment for severe scoliosis with split cord malformation"],"prefix":"10.1371","volume":"19","author":[{"given":"Mengyan","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunjiang","family":"Lv","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaogang","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongzhe","family":"Qi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gan","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1489-9279","authenticated-orcid":true,"given":"Tao","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"issue":"1","key":"pone.0309646.ref001","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1111\/j.1740-8261.2009.01622.x","article-title":"Imaging 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of One-stage Spinal Osteotomy for Severe and Rigid Congenital Scoliosis Associated with Split Spinal Cord Malformation.","volume":"40","author":"B Chen","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"pone.0309646.ref005","doi-asserted-by":"crossref","first-page":"27","DOI":"10.2106\/00004623-197456010-00003","article-title":"Diastematomyelia and congenital spine deformities","volume":"56","author":"RB Winter","year":"1974","journal-title":"J Bone Joint Surg Am."},{"issue":"8","key":"pone.0309646.ref006","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.2106\/00004623-198466080-00027","article-title":"Occult intraspinal anomalies and congenital scoliosis","volume":"66","author":"AN Conner","year":"1984","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"pone.0309646.ref007","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/01241398-199101000-00009","article-title":"Intraspinal abnormalities and congenital spine deformities: a 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Singrakhia","year":"2018","journal-title":"Asian Spine J."},{"issue":"5","key":"pone.0309646.ref034","article-title":"Cervical Traction for the Treatment of Spinal Injury and Deformity.","volume":"2","author":"JH Wang","year":"2014","journal-title":"JBJS Rev"},{"issue":"4","key":"pone.0309646.ref035","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s00402-017-2642-x","article-title":"Posterior-only surgery with preoperative skeletal traction for management of severe scoliosis.","volume":"137","author":"S Mehrpour","year":"2017","journal-title":"Arch Orthop Trauma Surg"},{"key":"pone.0309646.ref036","doi-asserted-by":"crossref","first-page":"915904","DOI":"10.3389\/fmed.2022.915904","article-title":"Pulmonary Recovery Following Corrective Surgery in Adult Patients With Severe Scoliosis: A Minimum of Five-Year Follow-Up.","volume":"9","author":"X Zhou","year":"2022","journal-title":"Front Med (Lausanne)"}],"container-title":["PLOS 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