Clinical efficacy of short-term halo-pelvic traction combined with surgery in the treatment of severe spinal deformities.
- Author:
Bei Yu XU
1
;
Long Tao QI
1
;
Yu WANG
1
;
Chun De LI
1
;
Hao Lin SUN
1
;
Shi Jun WANG
1
;
Zheng Rong YU
1
;
Yao ZHAO
1
;
Long Long LIU
2
Author Information
1. Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
2. Department of Orthopedics, Linfen Second People's Hospital, Shanxi 041000, China.
- Publication Type:Journal Article
- Keywords:
Correction rate;
Correction surgery;
Halo-pelvic traction;
Severe;
Short-term;
Spinal deformities
- MeSH:
Adolescent;
Adult;
Female;
Humans;
Kyphosis/surgery*;
Male;
Retrospective Studies;
Scoliosis/surgery*;
Traction;
Treatment Outcome;
Young Adult
- From:
Journal of Peking University(Health Sciences)
2020;52(5):875-880
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the clinical efficacy of short-term halo-pelvic traction (HPT) combined with surgery in the treatment of severe spinal deformities.
METHODS:In the study, 24 patients diagnosed as severe spinal deformity accepted the treatment of one-stage short-term HPT and two-stage surgery from January 2015 to May 2018 in our orthopedics department. 24 cases (9 males and 15 females) were retrospectively reviewed. The average age of the cohort was (28.8±10.0) years (12－48 years). The height, scoliosis angle, kyphosis angle, the height difference of shoulders, the height difference of crista iliaca, C7PL-CSVL and the perpendicular distance of S1 and the convex point of the patients were assessed at pre-traction, post-traction and post-surgery. The paired t test was used to analyze the difference among pre-traction, post-traction and post-surgery.
RESULTS:The average traction time of 24 cases was (2.5±1.1) weeks (1－5 weeks). The height of pre-traction and post-traction were (141.7±11.2) cm (116-167 cm) and (154.1±9.5) cm (136－176 cm) respectively, showing significant difference (P < 0.05), and the increased height was (12.4±4.6) cm (4－20 cm). The average scoliosis angle before traction was 104.9°±35.0°(25°－158°), and it was significantly decreased in post-traction[64.8°±21.0°(19°－92°)] and post-surgery[39.3°±17.0° (10°-70°)] (P < 0.05). The traction's coronal correction rate was 37.2%±10.9% (11.9%－51.2%) and the total coronal correction rate was 61.9%±12.6%(26.9%-79.0%). The average kyphosis angle before traction was 106.9°±29.2°(54°－163°), and it was significantly decreased in post-traction [63.1°±17.1°(32°－92°)] and post-surgery [39.0°±16.8°(10°－68°)](P < 0.05). The traction's sagittal correction rate was 40.0%±10.7%(16.7%－55.5%) and the total sagittal correction rate was 64.3%±10.7%(49.0%－87.5%). The average C7PL-CSVL before traction was (3.2±2.8) cm, and it was significantly decreased in post-traction [(2.5±2.5) cm] (P < 0.05). The perpendicular distance of S1 and the convex point before traction was (10.5±4.8) cm, and it was significantly decreased in post-traction[(8.4±3.5) cm] (P < 0.05).
CONCLUSION:The one-stage short-term HPT combined with two-stage surgery is a safe and effective procedure for severe spinal deformities. The clinical efficacy is satisfactory and the complication is relatively less.
