Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children

Ernest L. Sink, Lori A. Karol, James Sanders, John G. Birch, Charles E. Johnston, J. Anthony Herring

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Perioperative halo traction was used in the treatment of severe scoliosis in 19 children. Diagnoses included neuromuscular, idiopathic, and congenital scoliosis. Traction was transferable between the bed and a walker or wheelchair. Thirteen patients had prior spinal surgery, and most required osteotomy. Traction was used for 6 to 21 weeks. All patients underwent spinal fusion surgery after traction, with instrumentation used in 15 patients. Improvement was achieved in all patients. The Cobb angle improved 35% from an average 84° before traction (range 63°-100°) to 55° preceding fusion. Trunk decompensation improved in all patients. Trunk height increased 5.3 cm in traction. Response to traction did not correlate with diagnosis, patient age, or prior surgery. There were no neurologic complications. Perioperative halo-gravity traction improves trunk balance and frontal and sagittal alignment in children with severe spinal deformity. Surgical fusion was enhanced by the improved alignment, and neurologic injury was avoided.

Original languageEnglish (US)
Pages (from-to)519-524
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume21
Issue number4
DOIs
StatePublished - 2001

Fingerprint

Gravitation
Traction
Scoliosis
Therapeutics
Nervous System Trauma
Spinal Fusion
Wheelchairs
Osteotomy
Nervous System

Keywords

  • Halo
  • Scoliosis
  • Traction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children. / Sink, Ernest L.; Karol, Lori A.; Sanders, James; Birch, John G.; Johnston, Charles E.; Herring, J. Anthony.

In: Journal of Pediatric Orthopaedics, Vol. 21, No. 4, 2001, p. 519-524.

Research output: Contribution to journalArticle

@article{e25d1e3bfd3048ae8401e74263d8b932,
title = "Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children",
abstract = "Perioperative halo traction was used in the treatment of severe scoliosis in 19 children. Diagnoses included neuromuscular, idiopathic, and congenital scoliosis. Traction was transferable between the bed and a walker or wheelchair. Thirteen patients had prior spinal surgery, and most required osteotomy. Traction was used for 6 to 21 weeks. All patients underwent spinal fusion surgery after traction, with instrumentation used in 15 patients. Improvement was achieved in all patients. The Cobb angle improved 35{\%} from an average 84° before traction (range 63°-100°) to 55° preceding fusion. Trunk decompensation improved in all patients. Trunk height increased 5.3 cm in traction. Response to traction did not correlate with diagnosis, patient age, or prior surgery. There were no neurologic complications. Perioperative halo-gravity traction improves trunk balance and frontal and sagittal alignment in children with severe spinal deformity. Surgical fusion was enhanced by the improved alignment, and neurologic injury was avoided.",
keywords = "Halo, Scoliosis, Traction",
author = "Sink, {Ernest L.} and Karol, {Lori A.} and James Sanders and Birch, {John G.} and Johnston, {Charles E.} and Herring, {J. Anthony}",
year = "2001",
doi = "10.1097/00004694-200107000-00020",
language = "English (US)",
volume = "21",
pages = "519--524",
journal = "Journal of Pediatric Orthopaedics",
issn = "0271-6798",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children

AU - Sink, Ernest L.

AU - Karol, Lori A.

AU - Sanders, James

AU - Birch, John G.

AU - Johnston, Charles E.

AU - Herring, J. Anthony

PY - 2001

Y1 - 2001

N2 - Perioperative halo traction was used in the treatment of severe scoliosis in 19 children. Diagnoses included neuromuscular, idiopathic, and congenital scoliosis. Traction was transferable between the bed and a walker or wheelchair. Thirteen patients had prior spinal surgery, and most required osteotomy. Traction was used for 6 to 21 weeks. All patients underwent spinal fusion surgery after traction, with instrumentation used in 15 patients. Improvement was achieved in all patients. The Cobb angle improved 35% from an average 84° before traction (range 63°-100°) to 55° preceding fusion. Trunk decompensation improved in all patients. Trunk height increased 5.3 cm in traction. Response to traction did not correlate with diagnosis, patient age, or prior surgery. There were no neurologic complications. Perioperative halo-gravity traction improves trunk balance and frontal and sagittal alignment in children with severe spinal deformity. Surgical fusion was enhanced by the improved alignment, and neurologic injury was avoided.

AB - Perioperative halo traction was used in the treatment of severe scoliosis in 19 children. Diagnoses included neuromuscular, idiopathic, and congenital scoliosis. Traction was transferable between the bed and a walker or wheelchair. Thirteen patients had prior spinal surgery, and most required osteotomy. Traction was used for 6 to 21 weeks. All patients underwent spinal fusion surgery after traction, with instrumentation used in 15 patients. Improvement was achieved in all patients. The Cobb angle improved 35% from an average 84° before traction (range 63°-100°) to 55° preceding fusion. Trunk decompensation improved in all patients. Trunk height increased 5.3 cm in traction. Response to traction did not correlate with diagnosis, patient age, or prior surgery. There were no neurologic complications. Perioperative halo-gravity traction improves trunk balance and frontal and sagittal alignment in children with severe spinal deformity. Surgical fusion was enhanced by the improved alignment, and neurologic injury was avoided.

KW - Halo

KW - Scoliosis

KW - Traction

UR - http://www.scopus.com/inward/record.url?scp=0034963990&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034963990&partnerID=8YFLogxK

U2 - 10.1097/00004694-200107000-00020

DO - 10.1097/00004694-200107000-00020

M3 - Article

C2 - 11433168

AN - SCOPUS:0034963990

VL - 21

SP - 519

EP - 524

JO - Journal of Pediatric Orthopaedics

JF - Journal of Pediatric Orthopaedics

SN - 0271-6798

IS - 4

ER -