Document Detail

Progressive correction of severe spinal deformities with halo-gravity traction.
MedLine Citation:
PMID:  21954764     Owner:  NLM     Status:  In-Process    
Treatment of rigid and severe spinal deformities is challenging and risky. Preoperative halo-gravity traction can be used to progressively reduce the deformity before spinal fusion. The aim of this study was to evaluate the effectiveness of halo-gravity traction for the correction of severe spinal deformities. Fifteen patients were reviewed retrospectively. Their mean age at the beginning of traction was 13.5 years. The mean duration of traction was 64 days. The main curve in the coronal plane improved from +/- 95 degrees to +/- 67 degrees, a gain of +/- 28 degrees (range 0 degrees-50 degrees) or +/- 30%. The curve in the sagittal plane improved from +/- 96 degrees to +/- 78 degrees, a gain of +/- 18 degrees (range 0 degrees-45 degrees) or +/- 19%. Other authors report gains up to 46% and 43%, respectively in the coronal and in the sagittal plane, but this might be due to different conditions, techniques, and evaluations. One patient with a pre-existing neurological deficit developed paraplegia. According to the literature congenital curves with associated kyphosis are exposed to paraplegia. Halo-gravity traction is effective and is usually tolerated better than other techniques of traction using the halo device.
Sami Bouchoucha; Anis Khelifi; Walid Saied; Chokri Ammar; Mohamed Nebil Nessib; Maher Ben Ghachem
Related Documents :
16287604 - Cerebral perfusion pressure for prediction of recurrent intracranial hypertension after...
20216394 - Cognitive function after major noncardiac surgery, apolipoprotein e4 genotype, and biom...
7963304 - Outcome following epineurotomy in carpal tunnel syndrome: a prospective, randomized cli...
12779094 - Survival analysis of the factors affecting in mortality in injured patients requiring d...
12821164 - Recent improvements in outcome with the novacor left ventricular assist device.
9255754 - Effect of tibolone on postmenopausal women with myomas.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  77     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-09-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  529-34     Citation Subset:  IM    
Department of Paediatric Orthopaedics, Children's Hospital, Tunis, Tunisia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A 14-year longitudinal comparison study of two treatment methods in clubfoot: Ponseti versus traditi...
Next Document:  Myths and facts of spondylodiscitis: an analysis of 183 cases.