![]() ![]() Scoliosis patients with ≥100° curves can be managed successfully by corrective fusion surgery concomitant with perioperative halo-gravity traction without significant complications. Doctors do this by attaching a halo (a metal. There were no neurological deficits or clinical complications. Halo-gravity traction is a way to pull the head and spine upward carefully, applying a slow stretch to the spine. 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). 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). 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). These abnormalities in the spine, costal-vertebral joints, and the rib cage produce a ‘convex’ and ‘concave’ hemithorax. This surgery fuses the bones together to hold them in their new, straighter position. Scoliosis is defined by the Cobbs angle of spine curvature in the coronal plane and is often accompanied by vertebral rotation in the transverse plane and hypokyphosis in the sagittal plane. Doctors usually do it to help a child get ready for a second, bigger surgery, called spinal fusion. The average overall traction period in all patients was 67 days (range 10-78 days). For kids with scoliosis or kyphosis, halo-gravity traction is a way to stretch the spine slowly into a straighter position. 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). 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. The utility model aims at traction treatment of scoliosis, the traction treatment is implemented for some time before the surgery to obviously improve the. 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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