A New Halo-Pelvic Apparatus

Cheung, Kenneth M.C.; Kwan, Eugene; Chan, Keith Y. K.; Luk, K.D.K.

doi:10.1097/01.brs.0000042322.78033.32

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…He noted certain limitations to its use including cervical kyphosis, cervical stenosis, and significant instability or ligamentous laxity. Other forms of halotraction have been reported in the literature including halo-femoral and halo-pelvic, with significant morbidity because of prolonged bed-rest, aberrant pelvic pin placement, hip subluxation or dislocation, and femur fractures after the removal of femoral pins [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

The results of preoperative halo-gravity traction in children with severe spinal deformity

Garabekyan

Hosseinzadeh

Iwinski

et al. 2014

Journal of Pediatric Orthopaedics B

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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.

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Section: Introductionmentioning

confidence: 99%

The results of preoperative halo-gravity traction in children with severe spinal deformity

Garabekyan

Hosseinzadeh

Iwinski

et al. 2014

Journal of Pediatric Orthopaedics B

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“…Traction is recommended for patients who have severe trunk decompensation 4,13,17,20 . However, preoperative halo traction is contraindicated in the presence of several conditions, such as cervical deformity or caudad deformity with hip flexion contractures, and a viable alternative in such situations has not been well documented.…”

Section: Discussionmentioning

confidence: 99%

“…Although halo traction has been used in such settings, such treatment may have numerous drawbacks 12,13 . The halo often must be worn for a prolonged time 14 , making daily activities difficult, and complications (such as cranial nerve injuries 1,2,15 , cervical spondylosis 1,14,16,17 , and paralysis 18,19 ) have been reported.…”

mentioning

confidence: 99%

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis

Buchowski

Bhatnagar

Skaggs

et al. 2006

J Bone Joint Surg Am

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“…Before the advent of internal spinal fixation, continuous Halo-pelvic traction was the optimum treatment for spinal deformity [ 4 , 5 ]. Since traction is a painful and lengthy process for patients, it is usually accompanied by complications such as pain, nail tract infection, bedsore, and cranial nerve palsy; therefore, it was gradually abandoned [ 6 , 7 ]. Currently, the procedure involving spinal bone grafting, fusion, and internal fixation combined with various types of osteotomies is ideal for treating spinal deformity.…”

Section: Introductionmentioning

confidence: 99%

Effects of combined adjustable Halo-pelvic fixation brace on cervical spine alignment in patients with severe rigid spinal deformity

et al. 2022

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Objective To evaluate the effect of continuous traction with a combined adjustable Halo-pelvic fixation brace on the cervical spine alignment in patients with severe rigid spinal deformity and analyze its related factors. Methods We conducted a retrospective cohort study of 21 patients with severe rigid spinal deformity treated in our department between 2015 and 2019. All subjects received combined adjustable Halo-pelvic fixation brace traction before secondary orthopedic surgery. The influence of the Halo-pelvic fixation brace on the cervical spine alignment was evaluated by measuring the parameters of lateral cervical X-ray at three time points: before traction, at the end of traction, and 6 months after orthopedic surgery. The correlation between parameter changes and total traction duration was analyzed to explore factors influencing cervical alignment. Results The C2L-C7L angle was 22.40 ± 15.91° before traction, which decreased to 5.91 ± 6.78° at the end of traction but increased to 14.51 ± 10.07° after orthopedic surgery (BT vs ET p < 0.005, ET vs AOS p < 0.005, BT vs AOS p < 0.005). Accordingly, C2L-C7U angle, C2L-C6L angle, C2L-C6U angle, C2L-C5L angle, C7 or T1 slope, C2-C7 SVA, SCA, C2-T1 Ha, C0 slope, and C0-C2 angle also changed similarly to C2L-C7L angle. Furthermore, moderate correlation was observed between C2L-C7L angle and total traction volume (r = 0.563, p = 0.008) and SCA and traction duration (r = 0.525, p = 0.015). However, no significant correlation was found between other cervical alignment parameters and total traction volume and traction duration. Conclusions The continuous traction of a combined adjustable Halo-pelvic fixation brace can affect the cervical spine alignment of patients with severe rigid spinal deformity and straighten the physiological curvature of the cervical spine. However, the sagittal alignment gradually recovers after the traction, without any adverse effects on the orthopedic surgery and global balance after the operation; therefore, this apparatus is worthy of wide application.

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A New Halo-Pelvic Apparatus

Abstract: One simple modification of existing external fixation equipment has allowed a new halo-pelvic device to be constructed and used effectively to immobilize the spine.

Cited by 5 publications

References 27 publications

The results of preoperative halo-gravity traction in children with severe spinal deformity

The results of preoperative halo-gravity traction in children with severe spinal deformity

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis

Effects of combined adjustable Halo-pelvic fixation brace on cervical spine alignment in patients with severe rigid spinal deformity

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