The Use and Complications of Halo Gravity Traction in Children with Scoliosis
Scoliosis is one of the most frequent spine deformities encountered in children and is regularly discovered after 15 years of age with a girls to boys ratio of 2:1. Vertebral arthrodesis involves both short and long term complications. Neurological complications consist of nerve root injuries, cauda...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/11/1701 |
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| author | Mihai B. Popescu Alexandru Ulici Madalina Carp Oana Haram Nicolae S. Ionescu |
| author_facet | Mihai B. Popescu Alexandru Ulici Madalina Carp Oana Haram Nicolae S. Ionescu |
| author_sort | Mihai B. Popescu |
| collection | DOAJ |
| description | Scoliosis is one of the most frequent spine deformities encountered in children and is regularly discovered after 15 years of age with a girls to boys ratio of 2:1. Vertebral arthrodesis involves both short and long term complications. Neurological complications consist of nerve root injuries, cauda equina or spinal cord deficit. Traction is a good orthopaedic technique of progressive deformity correction which attempts to minimize complications. The purpose of this study is to assess the complications that arise during halo gravity traction and to evaluate the correction of the scoliotic curves under traction. A single centre prospective study was conducted on 19 paediatric patients suffering from scoliosis that were admitted between 2019–2022. Traction-related complications were encountered in 94.7% of patients, with the most frequent being cervical pain (89.5%). It was followed by back pain, in 36.8% of the cases, with just 5.3% of the cases having experienced vertigo or pin displacement. Neurological symptoms were present in 26.3% of the patients and pin pain and pin infection equally affected 26.3% of patients. Even though minor halo related complications are frequent, with proper patient monitoring they can be addressed, thus making traction a safe method for progressive curve correction. |
| first_indexed | 2024-03-09T19:10:31Z |
| format | Article |
| id | doaj.art-96112fe2a7334bb6b3d9a03c31890d38 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:10:31Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-96112fe2a7334bb6b3d9a03c31890d382023-11-24T04:12:26ZengMDPI AGChildren2227-90672022-11-01911170110.3390/children9111701The Use and Complications of Halo Gravity Traction in Children with ScoliosisMihai B. Popescu0Alexandru Ulici1Madalina Carp2Oana Haram3Nicolae S. Ionescu4Emergency Hospital for Children “Grigore Alexandrescu”, 011743 Bucharest, RomaniaEmergency Hospital for Children “Grigore Alexandrescu”, 011743 Bucharest, RomaniaEmergency Hospital for Children “Grigore Alexandrescu”, 011743 Bucharest, RomaniaEmergency Hospital for Children “Grigore Alexandrescu”, 011743 Bucharest, Romania11th Department, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaScoliosis is one of the most frequent spine deformities encountered in children and is regularly discovered after 15 years of age with a girls to boys ratio of 2:1. Vertebral arthrodesis involves both short and long term complications. Neurological complications consist of nerve root injuries, cauda equina or spinal cord deficit. Traction is a good orthopaedic technique of progressive deformity correction which attempts to minimize complications. The purpose of this study is to assess the complications that arise during halo gravity traction and to evaluate the correction of the scoliotic curves under traction. A single centre prospective study was conducted on 19 paediatric patients suffering from scoliosis that were admitted between 2019–2022. Traction-related complications were encountered in 94.7% of patients, with the most frequent being cervical pain (89.5%). It was followed by back pain, in 36.8% of the cases, with just 5.3% of the cases having experienced vertigo or pin displacement. Neurological symptoms were present in 26.3% of the patients and pin pain and pin infection equally affected 26.3% of patients. Even though minor halo related complications are frequent, with proper patient monitoring they can be addressed, thus making traction a safe method for progressive curve correction.https://www.mdpi.com/2227-9067/9/11/1701scoliosishalotractioncomplicationschildren |
| spellingShingle | Mihai B. Popescu Alexandru Ulici Madalina Carp Oana Haram Nicolae S. Ionescu The Use and Complications of Halo Gravity Traction in Children with Scoliosis Children scoliosis halo traction complications children |
| title | The Use and Complications of Halo Gravity Traction in Children with Scoliosis |
| title_full | The Use and Complications of Halo Gravity Traction in Children with Scoliosis |
| title_fullStr | The Use and Complications of Halo Gravity Traction in Children with Scoliosis |
| title_full_unstemmed | The Use and Complications of Halo Gravity Traction in Children with Scoliosis |
| title_short | The Use and Complications of Halo Gravity Traction in Children with Scoliosis |
| title_sort | use and complications of halo gravity traction in children with scoliosis |
| topic | scoliosis halo traction complications children |
| url | https://www.mdpi.com/2227-9067/9/11/1701 |
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