1. PREOPERATIVE HALO-GRAVITY TRACTION WITH AND WITHOUT ANTERIOR RELEASE FOR SEVERE SCOLIOSIS
- Author
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João Lameiras Campagnolo, Nuno Correia Mendonça, Jorge Mineiro, and Andreia Mercier Nunes
- Subjects
medicine.medical_specialty ,lcsh:Diseases of the musculoskeletal system ,medicine.medical_treatment ,Halo gravity traction ,Tracción ,Discectomía ,Scoliosis ,03 medical and health sciences ,0302 clinical medicine ,lcsh:Orthopedic surgery ,Traction ,medicine ,Deformity ,Orthopedics and Sports Medicine ,Kyphoscoliosis ,Reduction (orthopedic surgery) ,030222 orthopedics ,Cobb angle ,business.industry ,Pediatría ,Scoliosis, Pediatrics ,Traction (orthopedics) ,medicine.disease ,Surgery ,lcsh:RD701-811 ,Etiology ,Escoliosis ,Neurology (clinical) ,lcsh:RC925-935 ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Diskectomy - Abstract
Objective: This study aims to compare the use of halo-gravity traction (HGT) with and without previous anterior release, in terms of curve reduction, for the treatment of pediatric severe spinal deformity. Methods: From 2010 to 2016, all patients treated with HGT prior to instrumentation for scoliosis and kyphoscoliosis were reviewed. They were assessed by deformity etiology, previous anterior release, instrumentation procedure used, traction protocol, major Cobb angle before traction, after the protocol, and after the instrumentation procedure. Twelve patients met these criteria and constituted the sample groups: Group I (n=7) with anterior release and Group II (n=5) without anterior release. Results: The average pre-traction major curve Cobb angles were 114.9o and 108.4º for Group I and II, respectively (P>0.05). After HGT, both groups achieved a significant reduction in curve angle (P0.05). No major HGT related complications were reported. Conclusions: Anterior release prior to HGT did not increase major curve correction after posterior surgery for severe pediatric idiopathic and syndromic scoliosis. HGT is an effective and safe technique, though it frequently presents minor and transitory complications. Level of Evidence III; Retrospective Comparative Study.
- Published
- 2019
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