AN evaluation of the effectiveness of Cotrel dynamic spinal traction in the treatment of idiopathic scoliosis is presented. Sixteen patients underwent an initial pre-operative course of Cotrel traction prior to spinal fusion. The average correction of the curve following Cotrel traction was 35% with a further 8% correction being achieved at the time of surgery. Forty nine patients underwent a regime of Cotrel traction as an alternative to bracing. In 59% of the cases the progress of the curve had been arrested or improved. In 41% however, the curve had progressed. These results are significantly poorer than thoseachieved with the Milwaukee brace or Orthoplast Jacket. Cotrel traction alone has no place in the long term nonoperative treatment of idiopathic scoliosis.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Bunnell, W. P., MacEwan, G. D. and Jayakumar, G. 1980. The use of plastic jackets in the honoperative treatment of idiopathic scaliosis. Preliminary Report. J. Bone Joint Surg. 62-Am., 31–38.
Carr, C., Moe, J. H., Winter, R. B. and Lonstein, J. E. 1980. Treatment of idiopathic scoliosis in the Milwaukee Brace. Long term results. J. Bone Joint Surg. 62-Am., 599–612.
Cotrey, Y. 1975. Traction in the treatment of maternal deformity. J. Bone Joint Surg. 57-Br., 260.
Dickson, R. A., Leatherman, K. D. 1978. Cotrel traction, exercises, casting in the treatment of idiopathic scoliosis. A pilot study and prospective randomized controlled clinical trial. Acta Orthop. Scand (49(1), 46–48.
Hensinger, N. and MacEwan, G. D. 1974. Evaluation of the Cotrel dynamic spine traction in the tretament of scoliosis. Orth. Review 111, No. 5, 27–34.
Mellenkamp, D. D., Blount, W. P. and Anderson, A. J. 1977. Milwaukee Brace—treatment of idiopathic scoliosis. Late results. Clin. Orthop. 126, 47–57.
Nachenson, A., Nordwall, A. 1977. Effectiveness of pre-operative Cotrel traction for correction of idiopathic scoliosis. J. Bone Joint Surg. 59-Am., 504.
Swanks, S., Longstein, J. E., Moe, J. H., Winter, R. B. and Bradford, D. S. 1981. Surgical treatment of adult scoliosis. A review of two hundred and twenty-two cases. J. Bone Joint Surg. 63-Am., 268–289.
Weinstein, S. L., Zacale, D. C. and Ponseti, I. V. 1981. Idiopathic scoliosis. Long-term follow-up and prognosis in untreated patients. J. Bone Joint Surg 63-Am., 702–711.
Wilson, R. L., Levine, D. B., Doherty, J. H. 1971. Surgical treatment of idiopathic scoliosis. Clin. Orthop. 81, 34–47.
About this article
Cite this article
Barry, O.C.D., McManus, F. & Walshe, M. Short term results of Cotrel traction in the treatment of idiopathic scoliosis. I.J.M.S. 152, 279–282 (1983). https://doi.org/10.1007/BF02954798
- Idiopathic Scoliosis
- Spinal Fusion
- Adult Scoliosis
- Thoracic Curf
- Initial Correction