The radiographic, pulmonary, and clinical outcomes of patients with severe rigid spinal deformities treated via halo‐pelvic traction
| Autor: | Yaolong Deng, Wen-yuan Sui, Zifang Huang, Jingfan Yang, Junlin Yang, Jing Xu, Jian Chen |
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| Rok vydání: | 2021 |
| Předmět: |
Halo‐gravity traction
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Pulmonary function medicine.medical_treatment Osteotomy Pulmonary function testing 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine Halo‐pelvic traction Rheumatology Traction Preoperative Care Deformity Humans Medicine Orthopedics and Sports Medicine Kyphosis Kyphoscoliosis Retrospective Studies 030222 orthopedics Cobb angle business.industry Severe rigid spinal deformity medicine.disease Surgery Spinal Fusion Treatment Outcome Scoliosis Coronal plane Orthopedic surgery lcsh:RC925-935 medicine.symptom business 030217 neurology & neurosurgery Research Article |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-8 (2021) |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-021-03953-y |
| Popis: | Background The severe rigid deformity patients with pulmonary dysfunction could not tolerate complicated corrective surgery. Preoperative traction are used to reduce the curve magnitude and improve the pulmonary function before surgery, including halo-gravity traction (HGT) and halo-pelvic traction (HPT). The present study aimed to retrospectively compare the radiographic, pulmonary and clinical outcomes of preoperative HGT and HPT in severe rigid spinal deformity with respiratory dysfunction. Methods 81 cases of severe rigid kyphoscoliosis treated with preoperative traction prior to corrective surgery for spinal deformity between 2016 and 2019 were retrospectively reviewed. Two patient groups were compared, HPT group (N = 30) and HGT group (N = 51). Patient demographics, coronal and sagittal Cobb angles and correction rates, pulmonary function, traction time, osteotomy grade, and postoperative neurological complications were recorded for all cases. Results The coronal Cobb angle was corrected from 140.67 ± 2.63 to a mean of 120.17 ± 2.93° in the HGT group, and from 132.32 ± 4.96 to 87.59 ± 3.01° in the HPT group (mean corrections 15.33 ± 1.53 vs. 34.86 ± 3.11 %) (P = 0.001). The mean major sagittal curve decreased from 134.28 ± 3.77 to 113.03 ± 4.57° in the HGT group and from 129.60 ± 8.45 to 65.61 ± 7.86° in the HPT group (P P P = 0.024). The HPT group tended to exhibit more FEV% improvement than the HGT group, but the difference was not significant (5.15 ± 2.27 vs. 11.76 ± 2.22 %, P = 0.91). Conclusions Patients with severe rigid kyphoscoliosis who underwent preoperative HPT exhibited better radiographic correction of the deformity, and pulmonary function, and required fewer osteotomies compared to the HGT group. Thus, HPT may be useful for severe rigid spinal deformity patients with pulmonary dysfunction. |
| Databáze: | OpenAIRE |
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