Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature
Objective: To determine, through a systematic review, the effects of halo gravity traction in spinal deformity. Methods: Prospective studies or case series of patients with scoliosis or kyphosis treated with cranial halo gravity traction (HGT) were included. Radiological outcomes were measured in th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Revista Española de Cirugía Ortopédica y Traumatología |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S188844152300125X |
| _version_ | 1797249134563950592 |
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| author | P. Domenech G. Mariscal V. Marquina P. Bas T. Bas |
| author_facet | P. Domenech G. Mariscal V. Marquina P. Bas T. Bas |
| author_sort | P. Domenech |
| collection | DOAJ |
| description | Objective: To determine, through a systematic review, the effects of halo gravity traction in spinal deformity. Methods: Prospective studies or case series of patients with scoliosis or kyphosis treated with cranial halo gravity traction (HGT) were included. Radiological outcomes were measured in the sagittal and/or coronal planes. Pulmonary function was also assessed. Perioperative complications were also collected. Results: Thirteen studies were included. Congenital etiology was the most frequent etiology observed. Most studies provided clinically relevant curve correction values in the sagittal and coronal planes. Pulmonary values improved significantly after the use of HGT. Finally, there were a pool of 83 complications in 356 patients (23.3%). The most frequent complications were screw infection (38 cases). Conclusions: Preoperative HGT appears to be a safe and effective intervention for deformity that allows correction prior to surgery. However, there is a lack of homogeneity in the published studies. Resumen: Objetivo: Determinar, mediante una revisión sistemática, los efectos de la tracción de halo-gravedad (HGT) en las deformidades de columna. Métodos: Se incluyeron estudios prospectivos o series de casos de pacientes con escoliosis o cifosis tratados con HGT. Los resultados radiológicos se midieron en los planos sagital y/o coronal. También se evaluó la función pulmonar. Finalmente, se recogieron las complicaciones perioperatorias. Resultados: Se incluyeron 13 estudios. La etiología congénita fue la más frecuente. La mayoría de los estudios proporcionaron valores de corrección de la curva clínicamente relevantes en los planos sagital y coronal. Los valores pulmonares mejoraron significativamente tras el uso de HGT. Por último, existieron 83 complicaciones en 356 pacientes, siendo la infección la más frecuente (38 casos). Conclusiones: La HGT mostró ser una intervención segura y eficaz para la deformidad, que permite la corrección antes de la cirugía. Sin embargo, existe una falta de homogeneidad en los estudios publicados. |
| first_indexed | 2024-04-24T20:25:39Z |
| format | Article |
| id | doaj.art-2aff838c3a3c4a9c9ef7ae6627facda8 |
| institution | Directory Open Access Journal |
| issn | 1888-4415 |
| language | English |
| last_indexed | 2024-04-24T20:25:39Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Española de Cirugía Ortopédica y Traumatología |
| spelling | doaj.art-2aff838c3a3c4a9c9ef7ae6627facda82024-03-22T05:39:07ZengElsevierRevista Española de Cirugía Ortopédica y Traumatología1888-44152024-03-01682159167Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literatureP. Domenech0G. Mariscal1V. Marquina2P. Bas3T. Bas4Department of Orthopedic Surgery and Traumatology, La Fe University and Polytechnic Hospital, Valencia, SpainDepartment of Orthopedic Surgery and Traumatology, La Fe University and Polytechnic Hospital, Valencia, Spain; Corresponding author.Department of Orthopedic Surgery and Traumatology, Valencia General University Hospital, Valencia, SpainDepartment of Orthopedic Surgery and Traumatology, La Fe University and Polytechnic Hospital, Valencia, SpainDepartment of Orthopedic Surgery and Traumatology, La Fe University and Polytechnic Hospital, Valencia, SpainObjective: To determine, through a systematic review, the effects of halo gravity traction in spinal deformity. Methods: Prospective studies or case series of patients with scoliosis or kyphosis treated with cranial halo gravity traction (HGT) were included. Radiological outcomes were measured in the sagittal and/or coronal planes. Pulmonary function was also assessed. Perioperative complications were also collected. Results: Thirteen studies were included. Congenital etiology was the most frequent etiology observed. Most studies provided clinically relevant curve correction values in the sagittal and coronal planes. Pulmonary values improved significantly after the use of HGT. Finally, there were a pool of 83 complications in 356 patients (23.3%). The most frequent complications were screw infection (38 cases). Conclusions: Preoperative HGT appears to be a safe and effective intervention for deformity that allows correction prior to surgery. However, there is a lack of homogeneity in the published studies. Resumen: Objetivo: Determinar, mediante una revisión sistemática, los efectos de la tracción de halo-gravedad (HGT) en las deformidades de columna. Métodos: Se incluyeron estudios prospectivos o series de casos de pacientes con escoliosis o cifosis tratados con HGT. Los resultados radiológicos se midieron en los planos sagital y/o coronal. También se evaluó la función pulmonar. Finalmente, se recogieron las complicaciones perioperatorias. Resultados: Se incluyeron 13 estudios. La etiología congénita fue la más frecuente. La mayoría de los estudios proporcionaron valores de corrección de la curva clínicamente relevantes en los planos sagital y coronal. Los valores pulmonares mejoraron significativamente tras el uso de HGT. Por último, existieron 83 complicaciones en 356 pacientes, siendo la infección la más frecuente (38 casos). Conclusiones: La HGT mostró ser una intervención segura y eficaz para la deformidad, que permite la corrección antes de la cirugía. Sin embargo, existe una falta de homogeneidad en los estudios publicados.http://www.sciencedirect.com/science/article/pii/S188844152300125XTracción del halo-gravedadEscoliosisCifosisDeformidad de columnaRevisión sistemática |
| spellingShingle | P. Domenech G. Mariscal V. Marquina P. Bas T. Bas Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature Revista Española de Cirugía Ortopédica y Traumatología Tracción del halo-gravedad Escoliosis Cifosis Deformidad de columna Revisión sistemática |
| title | Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature |
| title_full | Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature |
| title_fullStr | Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature |
| title_full_unstemmed | Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature |
| title_short | Efficacy and safety of halo-gravity traction in the treatment of spinal deformities: A systematic review of the literature |
| title_sort | efficacy and safety of halo gravity traction in the treatment of spinal deformities a systematic review of the literature |
| topic | Tracción del halo-gravedad Escoliosis Cifosis Deformidad de columna Revisión sistemática |
| url | http://www.sciencedirect.com/science/article/pii/S188844152300125X |
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