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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