{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:57Z","timestamp":1787755797191,"version":"build-2784847793"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We utilized a novel staged approach for an adolescent with severe kyphoscoliosis; it involved 8 weeks of initial halo-gravity traction as well as implantation and expansion (every 2 weeks) of a magnetically controlled growing rod over 6 months, followed by spinal fusion. The patient was a 13-year-old girl with an untreated idiopathic deformity (thoracic scoliosis with a curve of 145\u00b0 and kyphosis with a curve of 120\u00b0). No osteotomies other than inferior facetectomies were required at the final fusion, and the final scoliosis curve was 57\u00b0, a correction of 60.7%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The staged approach resulted in a straightforward, safe, gradual correction of severe kyphoscoliosis. We consider this an option for patients with scoliosis with a curve of \u2265130\u00b0 on initial presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00284","type":"journal-article","created":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T16:36:15Z","timestamp":1537979775000},"page":"e75-e75","source":"Crossref","is-referenced-by-count":1,"title":["Use of Halo-Gravity Traction and a Magnetically Controlled Growing Rod for Untreated Severe Kyphoscoliosis in an Adolescent"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8286-9855","authenticated-orcid":false,"given":"Graham T.","family":"Fedorak","sequence":"first","affiliation":[{"name":"University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2451-778X","authenticated-orcid":false,"given":"John T.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1150-2092","authenticated-orcid":false,"given":"John A.","family":"Heflin","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,9]]},"reference":[{"issue":"5","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"E340","DOI":"10.1097\/BRS.0b013e3182015712","article-title":"Posterior vertebral column resection in severe spinal deformities: a total of 102 cases","volume":"36","author":"Hamzaoglu","year":"2011","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1007\/s11999-009-1037-x","article-title":"Vertebral column resection for the treatment of severe spinal deformity","volume":"468","author":"Lenke","year":"2010","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/BRS.0b013e318269fab1","article-title":"Complications after 147 consecutive vertebral column resections for severe pediatric spinal deformity: a multicenter analysis","volume":"38","author":"Lenke","year":"2013","journal-title":"Spine (Phila Pa 1976)."},{"issue":"14","key":"bib4-20230811","doi-asserted-by":"crossref","first-page":"1682","DOI":"10.1097\/01.brs.0000170590.21071.c1","article-title":"Posterior vertebral column resection for severe rigid scoliosis","volume":"30","author":"Suk","year":"2005","journal-title":"Spine (Phila Pa 1976)."},{"issue":"16","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1097\/BRS.0000000000000995","article-title":"Perioperative major non-neurological complications in 105 patients undergoing posterior vertebral column resection procedures for severe rigid deformities","volume":"40","author":"Wang","year":"2015","journal-title":"Spine (Phila Pa 1976)."},{"issue":"4","key":"bib6-20230811","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1007\/s00586-005-1016-1","article-title":"Combined anterior and posterior instrumentation in severe and rigid idiopathic scoliosis","volume":"15","author":"Bullmann","year":"2006","journal-title":"Eur Spine J."},{"issue":"5","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1111\/j.1440-1754.2009.01491.x","article-title":"Single-staged anterior and posterior spinal fusion: a safe and effective alternative for severe and rigid adolescent idiopathic scoliosis in China","volume":"45","author":"Li","year":"2009","journal-title":"J Paediatr Child Health."},{"issue":"22","key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1097\/01.brs.0000240704.42264.c4","article-title":"Comparison of 1-stage versus 2-stage anterior and posterior spinal fusion for severe and rigid idiopathic scoliosis\u2014a randomized prospective study","volume":"31","author":"Shen","year":"2006","journal-title":"Spine (Phila Pa 1976)."},{"issue":"8","key":"bib9-20230811","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1097\/00007632-199108000-00011","article-title":"Anterior and posterior spinal fusion. 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