12/6/2023 0 Comments Halo therapy for scoliosis![]() ![]() At least 4 weeks of traction is recommended when following this protocol.Ĭopyright © 2021 Wolters Kluwer Health, Inc. The first 3 weeks of treatment, reaching 50% of body weight as a traction force accounts for 80% of correction, with the remaining 20% in the following 2 weeks. The patient wears a halo device, which is attached to the skull, and is then suspended from a frame. Halo traction is a treatment option that is used to straighten the spine and relieve pain. HGT is a safe treatment for severe, stiff scoliosis because it can respond to early signs of impending neurological impairment. Advertisement Scoliosis is a curvature of the spine that can occur in children and adults. Following fusion, angular correction of the major curve was 49%. These methods are commonly used presurgically. 158163 Turnbuckle hinge jackets, localizer casts, plaster jackets or vests, and halo casts with traction devices apply corrective forces gradually on a sustained basis. One patient underwent a slower progression of traction because of transitory urinary disturbance. Biomechanical Considerations in the Therapy of Thoracic Scoliosis. Hundred percent of the angular and 98% of T1-L5 height correction was reached by 6 weeks.One patient showed early signs of a cranial nerve palsy prompting early surgery and 8 patients showed pin loosening, 1 of which required revision of their halo. The mean duration of traction was 42 days with a mean improvement in height of 72 mm with 82% occurring over the first 3 weeks. The mean coronal deformity was 123 degrees, with a T1-L5 height of 234 mm. Twenty-four patients were included with a mean age of 11.8 years. Scoliosis is a musculoskeletal disorder that affects the spine, causing lateral curvature and rotation of the vertebral column. These abnormalities in the spine, costal-vertebral joints, and the rib cage produce a ‘convex’ and ‘concave’ hemithorax. Traction remained in place until signs of impending neurological complication or 6 weeks, whichever was sooner. Scoliosis is defined by the Cobbs angle of spine curvature in the coronal plane and is often accompanied by vertebral rotation in the transverse plane and hypokyphosis in the sagittal plane. A standard protocol with the daily addition of weight to 50% of body weight at 3 weeks was used. Methods Electronic database searches were conducted including the Cochrane Library, PubMed, Web of Science and Embase. In this study, the authors sought to define the efficiency and safety of HGT and characterize the chronology of the correction seen.Ī consecutive group of pediatric patients with severe spinal deformities was treated with HGT before definitive correction. Purpose To provide better evidence of the efficacy and safety of preoperative halo-pelvic traction on the improvements of deformity and pulmonary functions in patients with severe scoliosis. One method used to reduce the risk is preoperative halo gravity traction (HGT). ![]() ![]() The correction of severe, stiff scoliosis in children is challenging. ![]()
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