Vol.6 No.2 (June 2016)
Orthopedics in the Most Serious Spine Deformity by Halo-Pelvic Traction, Soft Tissue Release
梁益建 ：成都市第三人民医院，四川 成都
Objective: To observe and evaluate the clinical security and effects of halo-pelvic traction for or-thopedics in the most serious spine deformity. Methods: From September 2011 to June 2012, there are 7 patients, including 3 patients who are diagnosed spinal tuberculosis and 4 patients who are diagnosed adolescent idiopathic scoliosis. The mean Cobb’s is 168.8˚, ranging from 136˚ to 180˚. The mean height is 135.4 cm, ranging from 128 to 145 cm. Before osteotomy, everyone is pulled by halo-pelvic traction. The mean pulling is 128.4 days, ranging from 70 to 213 days, after osteotomy, observing the Cobb’s, height and the clinical symptoms in 30 days. Results: all the patients are in safe in the soft tissue lysis, osteotomy and fusion internal fixation after pulling by halo-pelvic trac-tion. The mean Cobb’s is 33.5˚, ranging from 0˚ to 42˚ after operation; the correction rate is 81%. The mean height is 150.7 cm, ranging from 138 to 160 cm after operation. The height difference of the patience is 9 cm to 27 cm. The physical appearance and walking of the patients are improved. No complications such as spinal cord injury occurred. In two of them, the muscle tone, which was under the MRC grade 3 motor because of spinal cord compressed severed before operation, achieved the MRC grade 4 motor after operation. Conclusion: Halo-pelvic traction is the one of se-curity and effect methods in treating the most serious spine deformity. Through slowly traction, the most serious spine deformity can be changed into serious spine deformity or little serious spine deformity, which reduces the risk of orthopedics and is safe in operation.
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