The results of preoperative halo-gravity traction in children with severe spinal deformity.
Halo-gravity traction has been used preoperatively for patients with severe spinal deformity but there are limited data in the literature on the results and complications. We studied the outcomes of perioperative halo-gravity traction in children with severe spinal deformity. A retrospective study was carried out on patients who were treated at our center. Twenty-one patients were included in the study. Radiographic and pulmonary function parameters showed significant improvement during the course of traction and at the final follow-up. The overall complication rate was 19%, including two patients with pin loosening and two patients with superficial pin-site infections treated with oral antibiotics.
aDepartment of Orthopaedic Surgery, Marshall University, Huntington, West Virginia bDepartment of Orthopaedic Surgery, Shriners Hospital for Children, University of Kentucky, Lexington, Kentucky, USA.
Tigran
T
Garabekyan
Pooya
P
Hosseinzadeh
Henry J
HJ
Iwinski
Ryan D
RD
Muchow
Vishwas R
VR
Talwalkar
Janet
J
Walker
Todd A
TA
Milbrandt
D000293:Adolescent; D001858:Bone Nails; D002648:Child; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D015999:Multivariate Analysis; D009139:Musculoskeletal Abnormalities / Q000175:diagnosis / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D012720:Severity of Illness Index; D013123:Spinal Fusion / Q000379:methods*; D014143:Traction / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult