![]() ![]() Scoliosis patients with ≥100° curves can be managed successfully by corrective fusion surgery concomitant with perioperative halo-gravity traction without significant complications. There were no neurological deficits or clinical complications. There were only two patients with a pin-site problem, and one required débridement. Staged traction after anterior release demonstrated 37.2% correction of the major curve Cobb angle, 26.1 mm correction of apical vertebral translation, 56.5 mm increase of T1-S1 length, 14.2% increase of space available for the lungs (all comparisons P < 0.05). After halo traction, children usually have spinal fusion surgery to permanently stabilize the spine. Children remain in the hospital the entire time they are in traction, typically three to eight weeks. ![]() Preoperative traction demonstrated 27.5% correction of the major curve Cobb angle, 51.5 mm increase of T1-S1 length, 14.9% increase of space available for the lungs (all comparisons P < 0.05). Halo traction is typically a first step in correcting severe scoliosis, kyphosis, and other spine deformities. Radiographic outcomes demonstrated 51.3% correction of the major Cobb angle, 40 mm correction of apical vertebral translation, 76 mm increase of T1-S1 length, and 20.7% increase of space available for lungs at the ultimate follow-up (all comparisons P < 0.05). Kid Uses a medical device named Halo Gravity Traction thats used to treat Scoliosis (Spinal Deformity)The use of Halo-Gravity Traction removes the impact of. ![]() The average overall traction period in all patients was 67 days (range 10-78 days). Six patients had only preoperative traction preceding posterior fusion alone, 6 patients only staged traction between anterior release and final posterior fusion, and 9 patients had both preoperative traction preceding anterior release and staged traction preceding final posterior fusion. In all, 15 patients were treated by the anterior release procedure followed by final posterior fusion and 6 patients by posterior fusion alone. Diagnoses were neuromuscular scoliosis (n = 10), idiopathic (n = 9), and congenital (n = 2). Head halterpelvic traction is used for the initial traction radiograph to assess the flexibility of the scoliosis/kyphosis and again during the application of the Risser cast. The aim of this study was to evaluate the efficacy and safety of perioperative halo-gravity traction for scoliosis curves ≥100° with respect to radiographic outcomes and clinical complications.Ī total of 21 scoliosis patients with ≥100° curves (average 118.7° range 100°-158°) with a minimum 2-year follow-up (average 41.8 months range 24.0-97.0 months) who underwent spinal instrumented fusion using perioperative halo-gravity traction were analyzed. Halo-femoral and halo-pelvic traction have been used for the treatment of severe scoliosis. Halo-gravity traction is a viable option for surgical treatment of severe scoliosis. There have been no standardized surgical options for severe scoliotic curvatures ≥100°. ![]()
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