ISSN: 1859 - 2872
Initial experiences of Halo-gravity traction in treatment of extremely severe adult idiopathic scoliosis
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Abstract
Objective: To report initial experiences of Halo-gravity traction in treatment of extremely severe adult idiopathic scoliosis. Subject and method: 3 patients have severe rigid scoliosis underwent three-staged correction by an anterior release, halo-gravity traction then posterior instrumentation. The follow-up time was 55 months. Result: 3 patients had initial scoliosis curve 138-147 degree and kyphosis 80-138 degree. All patient underwent 4-5 apex disc resection. Halo-gravity traction was applied in bed and time of traction was 1-3 weeks. The maximum traction force was 38% of patient’s body weight. The correction of main scoliotic curve due to traction alone were 21-51%. After posterior fusion, the main scoliotic curve and kyphosis were improved 50.5-59 and 34-64%. Conclusion: Correction by Halo-gravity traction could be achieved better in patient with good counterforce position and should be applied in 3 weeks. Patients with extremely severe adult scoliosis could be managed by corrective fusion surgery with preoperative Halo-gravity traction.
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References
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