Inpatient versus outpatient halo-gravity traction in children with severe spinal deformity

Davies, Nestor Ricardo; Rodriguez, Victor Vasquez; Remondino, Rodrigo; Galaretto, Eduardo; Piantoni, Lucas; Rodríguez, Susana; Leonardelli, Eduardo; Wilson, Ida Alejandra Francheri; Bersusky, Ernesto; Tello, Carlos; Noël, Mariano A.

doi:10.1007/s43390-020-00083-8

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…Finally, correction of deformity is typically assessed with serial radiographs every 2 to 4 weeks during the traction period. There are some institutions which offer outpatient HGT for carefully selected patients, but this is still a relatively novel concept 29 .…”

Section: Initiation and Duration Of Tractionmentioning

confidence: 99%

Indications and Efficacy of Halo-Gravity Traction in Pediatric Spinal Deformity

et al. 2023

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Halo-gravity traction (HGT) is a well-established technique for correcting severe spinal deformity in pediatric patients. » HGT induces soft-tissue relaxation and gradually lengthens the spine, and it can be used preoperatively and intraoperatively. » It is typically indicated for spinal deformity over 90°in any plane and medical optimization. » There are several complications associated with the use of HGT, and it is critical to follow a protocol and perform serial examinations to minimize this risk. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A922).

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Section: Initiation and Duration Of Tractionmentioning

confidence: 99%

Indications and Efficacy of Halo-Gravity Traction in Pediatric Spinal Deformity

et al. 2023

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“…[8][9][10] In the treatment of severe spinal deformity, preoperative traction (PT) can effectively reduce the degree of deformity and the difficulty of operation. [11][12][13] PT can loosen the contracture of the muscles and ligaments around the fractured vertebral body, partially restore the height of the vertebral body, increase the intervertebral space and the intervertebral angle, thereby improving the kyphosis. In addition, PT, as a simple and practical measure for the treatment of cervical spondylosis and lumbar disc herniation syndrome, can effectively relieve symptoms, reduce the use of drugs, and delay or even avoid surgery.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Preoperative Traction Followed by Percutaneous Kyphoplasty Combined with Percutaneous Cement Discoplasty for the Treatment of Severe Thoracolumbar Osteoporotic Vertebral Compression Fractures

Xue

Zhang

Dai

2021

IJGM

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To evaluate the feasibility, clinical efficacy and imaging results of preoperative traction (PT) followed by percutaneous kyphoplasty (PKP) combined with percutaneous cement discoplasty (PCD) for treating severe thoracolumbar osteoporotic vertebral compression fractures (OVCFs). Methods: A total of 13 patients with severe thoracolumbar OVCFs treated by PT followed by PKP combined with PCD were enrolled. General information, PT time, operation time, postoperative hospital stay, perioperative complications, visual analog scale (VAS) score, Oswestry disability index (ODI) score, local kyphosis angle, intervertebral angle (IVA), anterior vertebral height (AVH) and posterior vertebral height (PVH) were recorded. Results:The average VAS score at admission was 7.4±3.5, decreased to 4.3±1.7 after PT and 2.3±0.7 three days after operation, and 1.5±0.9 at last follow-up. The average ODI score was 73.7±21.4 before operation, decreased to 26.6±9.3 three days after operation and 13.7 ±7.1 at last follow-up. Compared to VAS and ODI scores at admission, these at the third day after operation and last follow-up were significantly different. At admission, the IVA was 3.4°±6.8°, the disc height was 5.7±1.2mm, the AVH was 10.7±3.2mm, and the PVH was 25.7±4.2 mm, which, after PT, changed to 8.1°±7.3°, 8.6±2.6mm, 18.5±2.8mm, and 26.2 ±7.1mm, respectively, and the differences were significant. The average kyphotic angle was 43.4°±17.8° at admission, and decreased to 26.3°±6.7° after PT, 17.5°±8.4° three days after operation and 19.1°±10.3° at last follow-up, and the differences were significant. Conclusion: PT followed by PKP combined with PCD for the treatment of severe thoracolumbar OVCFs was an effective and simple procedure with satisfactory short-term clinical outcomes by relieving pain and improving kyphosis.

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