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The results of preoperative halo-gravity traction in children with severe spinal deformity

Garabekyan, Tigrana; Hosseinzadeh, Pooyab; Iwinski, Henry J.b; Muchow, Ryan D.b; Talwalkar, Vishwas R.b; Walker, Janetb; Milbrandt, Todd A.b

Journal of Pediatric Orthopaedics B: January 2014 - Volume 23 - Issue 1 - p 1–5
doi: 10.1097/BPB.0b013e32836486b6
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Halo-gravity traction has been used preoperatively for patients with severe spinal deformity but there are limited data in the literature on the results and complications. We studied the outcomes of perioperative halo-gravity traction in children with severe spinal deformity. A retrospective study was carried out on patients who were treated at our center. Twenty-one patients were included in the study. Radiographic and pulmonary function parameters showed significant improvement during the course of traction and at the final follow-up. The overall complication rate was 19%, including two patients with pin loosening and two patients with superficial pin-site infections treated with oral antibiotics.

aDepartment of Orthopaedic Surgery, Marshall University, Huntington, West Virginia

bDepartment of Orthopaedic Surgery, Shriners Hospital for Children, University of Kentucky, Lexington, Kentucky, USA

Correspondence to Pooya Hosseinzadeh, MD, Department of Orthopaedic Surgery, Shriners Hospital for Children, University of Kentucky, 1900 Richmond Rd, Lexington, KY 40502, USA Tel: +1 859 268 5622; fax: +1 859 268 5636; e-mail: phosseinzadeh@shrinenet.org

© 2014 by Lippincott Williams & Wilkins, Inc.