PREOPERATIVE HALO-GRAVITY TRACTION WITH AND WITHOUT ANTERIOR RELEASE FOR SEVERE SCOLIOSIS

PREOPERATIVE HALO-GRAVITY TRACTION WITH AND WITHOUT ANTERIOR RELEASE FOR SEVERE SCOLIOSIS

ABSTRACT Objective: This study aims to compare the use of halo-gravity traction (HGT) with and without previous anterior release, in terms of curve reduction, for the treatment of pediatric severe spinal deformity. Methods: From 2010 to 2016, all patients treated with HGT prior to instrumentation fo...

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Hauptverfasser: Nunes, Andreia Mercier, Mendonça, Nuno Correia, Mineiro, Jorge, Campagnolo, João Lameiras
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FOS: Clinical medicine
Orthopaedics
Rehabilitation and Therapy (excl. Physiotherapy)
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Mendonça, Nuno Correia
Mineiro, Jorge
Campagnolo, João Lameiras
description ABSTRACT Objective: This study aims to compare the use of halo-gravity traction (HGT) with and without previous anterior release, in terms of curve reduction, for the treatment of pediatric severe spinal deformity. Methods: From 2010 to 2016, all patients treated with HGT prior to instrumentation for scoliosis and kyphoscoliosis were reviewed. They were assessed by deformity etiology, previous anterior release, instrumentation procedure used, traction protocol, major Cobb angle before traction, after the protocol, and after the instrumentation procedure. Twelve patients met these criteria and constituted the sample groups: Group I (n=7) with anterior release and Group II (n=5) without anterior release. Results: The average pre-traction major curve Cobb angles were 114.9o and 108.4º for Group I and II, respectively (P>0.05). After HGT, both groups achieved a significant reduction in curve angle (P
doi_str_mv 10.6084/m9.figshare.14288925
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Methods: From 2010 to 2016, all patients treated with HGT prior to instrumentation for scoliosis and kyphoscoliosis were reviewed. They were assessed by deformity etiology, previous anterior release, instrumentation procedure used, traction protocol, major Cobb angle before traction, after the protocol, and after the instrumentation procedure. Twelve patients met these criteria and constituted the sample groups: Group I (n=7) with anterior release and Group II (n=5) without anterior release. Results: The average pre-traction major curve Cobb angles were 114.9o and 108.4º for Group I and II, respectively (P&gt;0.05). After HGT, both groups achieved a significant reduction in curve angle (P&lt;0.05). Group I presented an average Cobb angle of 95.0o after HGT, representing a 17.3% (19.8o) curve reduction. Group II presented a Cobb angle of 80.1o, representing a 25.2% (28.4o) curve reduction. The difference between the two groups in relation to the reduction of major curve after HGT was not statistically significant (P=0.073). After the surgical procedure, the correction achieved was significantly improved (P&lt;0.05), without statistically significant difference between the two groups (P&gt;0.05). No major HGT related complications were reported. Conclusions: Anterior release prior to HGT did not increase major curve correction after posterior surgery for severe pediatric idiopathic and syndromic scoliosis. HGT is an effective and safe technique, though it frequently presents minor and transitory complications. Level of Evidence III; Retrospective Comparative Study.</description><identifier>DOI: 10.6084/m9.figshare.14288925</identifier><language>eng</language><publisher>SciELO journals</publisher><subject>FOS: Clinical medicine ; Orthopaedics ; Rehabilitation and Therapy (excl. 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The difference between the two groups in relation to the reduction of major curve after HGT was not statistically significant (P=0.073). After the surgical procedure, the correction achieved was significantly improved (P&lt;0.05), without statistically significant difference between the two groups (P&gt;0.05). No major HGT related complications were reported. Conclusions: Anterior release prior to HGT did not increase major curve correction after posterior surgery for severe pediatric idiopathic and syndromic scoliosis. HGT is an effective and safe technique, though it frequently presents minor and transitory complications. Level of Evidence III; Retrospective Comparative Study.</description><subject>FOS: Clinical medicine</subject><subject>Orthopaedics</subject><subject>Rehabilitation and Therapy (excl. 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Physiotherapy)</topic><toplevel>online_resources</toplevel><creatorcontrib>Nunes, Andreia Mercier</creatorcontrib><creatorcontrib>Mendonça, Nuno Correia</creatorcontrib><creatorcontrib>Mineiro, Jorge</creatorcontrib><creatorcontrib>Campagnolo, João Lameiras</creatorcontrib><collection>DataCite (Open Access)</collection><collection>DataCite</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Nunes, Andreia Mercier</au><au>Mendonça, Nuno Correia</au><au>Mineiro, Jorge</au><au>Campagnolo, João Lameiras</au><format>book</format><genre>unknown</genre><ristype>DATA</ristype><title>PREOPERATIVE HALO-GRAVITY TRACTION WITH AND WITHOUT ANTERIOR RELEASE FOR SEVERE SCOLIOSIS</title><date>2021-03-24</date><risdate>2021</risdate><abstract>ABSTRACT Objective: This study aims to compare the use of halo-gravity traction (HGT) with and without previous anterior release, in terms of curve reduction, for the treatment of pediatric severe spinal deformity. 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The difference between the two groups in relation to the reduction of major curve after HGT was not statistically significant (P=0.073). After the surgical procedure, the correction achieved was significantly improved (P&lt;0.05), without statistically significant difference between the two groups (P&gt;0.05). No major HGT related complications were reported. Conclusions: Anterior release prior to HGT did not increase major curve correction after posterior surgery for severe pediatric idiopathic and syndromic scoliosis. HGT is an effective and safe technique, though it frequently presents minor and transitory complications. Level of Evidence III; Retrospective Comparative Study.</abstract><pub>SciELO journals</pub><doi>10.6084/m9.figshare.14288925</doi><oa>free_for_read</oa></addata></record>
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subjects FOS: Clinical medicine
Orthopaedics
Rehabilitation and Therapy (excl. Physiotherapy)
title PREOPERATIVE HALO-GRAVITY TRACTION WITH AND WITHOUT ANTERIOR RELEASE FOR SEVERE SCOLIOSIS
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