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Halo therapy for scoliosis8/31/2023 ![]() ![]() The use of preoperative HGT is extremely beneficial to optimize the alignment and overall health of severe adult spinal deformity patients before their spinal reconstruction.Īdult Halo-gravity traction Preoperative Severe Spinal deformity. Halo-gravity traction (HGT) for severe coronal and sagittal plane spinal deformity in adult patients significantly reduced Cobb angles, improved PFTs, and allowed for effective weight gain in the preoperative period. Effective weight gain was observed after traction (46.8 ± 14.5 vs. ![]() After halo traction, children usually have spinal fusion surgery to permanently stabilize the spine. Children remain in the hospital the entire time they are in traction, typically three to eight weeks. It is based on exercises tailored to each patient’s spine curvature. Halo traction is typically a first step in correcting severe scoliosis, kyphosis, and other spine deformities. PFTs showed significant increase in %FEV1 and %FVC when comparing pre- and post-traction. The Schroth Method is a physical therapy approach to scoliosis treatment. The major coronal and sagittal curves were reduced by 18.4% and 16.8% after halo-traction, and 54.7% and 44.2% after definitive fusion, respectively. Be conscious of chewing thoroughly before swallowing. Older children, adolescents and adults should avoid chewing gum or laughing while eating. There were 11 male and 7 female patients, aged 18-69 years with their major coronal and sagittal curves being 92.0° ± 25.2° and 111.6° ± 40.1°, respectively. To avoid choking for small children, cut the following foods into very small pieces: grapes and other fruit, hot dogs and spaghetti. The changes in major curve magnitude, pulmonary function tests (PFTs), and nutritional status were assessed between pre- and post-traction and immediate post-definitive corrective surgery. We reviewed baseline demographics, including coronal and sagittal radiographic profiles. Etiologies were neurofibromatosis (n = 5), adult idiopathic (n = 3), multiple vertebral fractures due to osteoporosis (n = 1) and multiple myeloma (n = 1), degenerative failed back syndrome (n = 1), Scheuermann kyphosis (n = 1), Marfan syndrome (n = 1), and other genetic and connective tissue disorders (n = 5). This study included 18 patients with severe adult kyphosis and scoliosis (age ≥ 18) who underwent a preoperative HGT (mean 4 weeks), and subsequent definitive posterior-alone corrective fusion. However, the efficacy of HGT on severe adult spinal deformity has rarely been studied. The Milwaukee brace, one of the first braces developed for scoliosis treatment, is less popular today due to its design. The Boston brace is similar, but uses pads inside the brace to push the curve (Figure 3). Preoperative HGT improves severe curve magnitude and clinical condition in pediatric spinal deformity. The Wilmington brace is a custom-molded thoracolumbosacral orthosis that has molds to push and correct the curve (Figure 2). To assess the efficacy of preoperative halo-gravity traction (HGT) in the treatment for severe adult kyphosis and scoliosis. ![]()
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