Correction using Halo Gravity Traction for Severe Rigid Neuromuscular Scoliosis: A Report of Three Cases

Mejabi, Joseph Olorunsogo; Sergeenko, OM; Ryabykh, S.O.

doi:10.5704/moj.1903.010

“…HGT has been reported to successfully assist in the management of spinal deformities [9][10][11]. However, due to the limited traction weight, the efficiency of treating severe rigid scoliosis is debated.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

Zhang

¹

,

Yang

²

,

Guo

³

et al. 2020

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Introduction Strong halo-femoral traction has been widely used in the field of severe rigid scoliosis correction. The objective of this study was to analyze the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis and discuss its meaning. Material and methods A retrospective review was performed for patients with severe rigid nonidiopathic scoliosis who were treated with halo-femoral traction in our center from December 2008 to December 2015. All cases underwent halo-femoral traction for 2 to 4 weeks before a one-stage posterior operation, and the absolute and relative contribution rates of each orthopedic factor (bending, fulcrum, traction, surgery) were analyzed. Results A total of 38 patients were included (15 males and 23 females), with a mean age of 16.4 ± 3.73 years (10–22 years) and follow-up of 55.05 ± 6.63 months (range 40–68 months). The etiology was congenital in 17 patients, neuromuscular in 14 patients, neurofibromatosis-1 in 3 patients, and Marfan syndrome in 2 patients. Congenital high scapular disease with scoliosis was found in 2 patients. The mean coronal Cobb angle of the major curve was 97.99° ± 11.47° (range 78°–124°), with a mean flexibility of 15.68% ± 6.65%. The absolute contribution rate (ACR) of bending was 27.26% ± 10.16%, the ACR of the fulcrum was 10.91% ± 2.50%, the ACR of traction was 32.32% ± 11.41%, and the ACR of surgery was 29.50% ± 9.70%. A significant difference in correction was noted between the ACRs of traction and the fulcrum (P < 0.05). Discussion Strong halo-femoral traction plays a relatively significant role in the treatment of severe rigid nonidiopathic scoliosis while decreasing the risk of operation, and it is a safe and effective method for the treatment of severe rigid nonidiopathic scoliosis.

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“…Halo-gravity traction has been reported to successfully assist in the management of spinal deformities [9][10][11]. However, due to the limited traction weight, the e ciency of treating severe rigid scoliosis is debated.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Corrective Contribution of Strong Halo-femoral Traction in the Treatment of Severe Rigid Nonidiopathic Scoliosis

Zhang

¹

,

Yang

²

,

Guo

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Introduction: Strong halo-femoral traction has been widely used in the field of severe rigid scoliosis correction. The objective of this study was to analyze the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis and discuss its meaning.Material and methods: A retrospective review was performed for patients with severe rigid nonidiopathic scoliosis who were treated with halo-femoral traction in our center from December 2008 to December 2015. All cases underwent halo-femoral traction for 2 to 4 weeks before a one-stage posterior operation, and the absolute and relative contribution rates of each orthopedic factor (bending, fulcrum, traction, surgery) were analyzed.Results: A total of 38 patients were included (15 male and 23 female), with a mean age of 16.4± 3.73 years (10-22 years) and follow-up of 55.05 ± 6.63 mos. (range 40-68 mos.). The etiology was congenital in 17 patients, neuromuscular in 14 patients, neurofibromatosis-1 in 3 patients and Marfan syndrome in 2 patients. Congenital high scapular disease with scoliosis was found in 2 patients. The mean coronal Cobb angle of the major curve was 97.99°±11.47° (range 78°–124°), with a mean flexibility of 15.68% ±6.65%. The absolute contribution rate (ACR) of bending was 27.26% ±10.16%, the ACR of the fulcrum was 10.91% ±2.50%, the ACR of traction was 32.32% ±11.41%, and the ACR of surgery was 29.50% ±9.70%. A significant difference in correction was noted between the ACRs of traction and the fulcrum (P < 0.05).Discussion: Strong halo-femoral traction plays a relatively significant role in the treatment of severe rigid nonidiopathic scoliosis while decreasing the risk of operation, and it is a safe and effective method for the treatment of severe rigid nonidiopathic scoliosis.

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“…Two patients developed a rigid knee/hip due to fear of moving the knee/hip. The total incidence of traction complications was 15.8% (table 1) Discussion HGT has been reported to successfully assist in the management of spinal deformities [9][10][11]. However, due to the limited traction weight, the e ciency of treating severe rigid scoliosis is debated.…”

Section: Complicationsmentioning

confidence: 99%

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

Zhang

¹

,

Yang

²

,

Guo

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Introduction: Strong halo-femoral traction has been widely used in the field of severe rigid scoliosis correction. The objective of this study was to analyze the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis and discuss its meaning.Material and methods: A retrospective review was performed for patients with severe rigid nonidiopathic scoliosis who were treated with halo-femoral traction in our center from December 2008 to December 2015. All cases underwent halo-femoral traction for 2 to 4 weeks before a one-stage posterior operation, and the absolute and relative contribution rates of each orthopedic factor (bending, fulcrum, traction, surgery) were analyzed.Results: A total of 38 patients were included (15 male and 23 female), with a mean age of 16.4± 3.73 years (10-22 years) and follow-up of 55.05 ± 6.63 mos. (range 40-68 mos.). The etiology was congenital in 17 patients, neuromuscular in 14 patients, neurofibromatosis-1 in 3 patients and Marfan syndrome in 2 patients. Congenital high scapular disease with scoliosis was found in 2 patients. The mean coronal Cobb angle of the major curve was 97.99°±11.47° (range 78°–124°), with a mean flexibility of 15.68% ±6.65%. The absolute contribution rate (ACR) of bending was 27.26% ±10.16%, the ACR of the fulcrum was 10.91% ±2.50%, the ACR of traction was 32.32% ±11.41%, and the ACR of surgery was 29.50% ±9.70%. A significant difference in correction was noted between the ACRs of traction and the fulcrum (P < 0.05).Discussion: Strong halo-femoral traction plays a relatively significant role in the treatment of severe rigid nonidiopathic scoliosis while decreasing the risk of operation, and it is a safe and effective method for the treatment of severe rigid nonidiopathic scoliosis.

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Correction using Halo Gravity Traction for Severe Rigid Neuromuscular Scoliosis: A Report of Three Cases

Cited by 10 publications

References 5 publications

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

Analysis of the Corrective Contribution of Strong Halo-femoral Traction in the Treatment of Severe Rigid Nonidiopathic Scoliosis

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

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