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Nishit Mummareddy, Michael C. Dewan, Michael R. Mercier, Robert P. Naftel, John C. Wellons III, and Christopher M. Bonfield

, McLone DG , Grant JA , Tomita T , Ito JA : Spina bifida outcome: a 25-year prospective . Pediatr Neurosurg 34 : 114 – 120 , 2001 10.1159/000056005 11359098 6 Bowman RM , Mohan A , Ito J , Seibly JM , McLone DG : Tethered cord release: a long-term study in 114 patients . J Neurosurg Pediatr 3 : 181 – 187 , 2009 10.3171/2008.12.PEDS0874 19338463 7 Cahill PJ , Warnick DE , Lee MJ , Gaughan J , Vogel LE , Hammerberg KW , : Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a

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Nikita G. Alexiades, Belinda Shao, Bruno P. Braga, Christopher M. Bonfield, Douglas L. Brockmeyer, Samuel R. Browd, Michael DiLuna, Mari L. Groves, Todd C. Hankinson, Andrew Jea, Jeffrey R. Leonard, Sean M. Lew, David D. Limbrick Jr., Francesco T. Mangano, Jonathan Martin, Joshua Pahys, Alexander Powers, Mark R. Proctor, Luis Rodriguez, Curtis Rozzelle, Phillip B. Storm, and Richard C. E. Anderson

based on adult patients; pediatric studies consist primarily of small case series highlighting individual institutional practices. 10–13 In addition, there is little to no guidance in the literature regarding the use of traction in very young children to whom standard techniques cannot be generalized. HGT is frequently employed preoperatively in the management of pediatric spinal deformity to gradually improve spinal alignment prior to definitive fixation. 5 , 14 , 15 However, there is very little literature specifically investigating the use of HGT for