Orthopedics in the Most Serious Spine Deformity by Halo-Pelvic Traction, Soft Tissue Release
Abstract: 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.
文章引用: 刘自强 , 钟喜红 , 梁益建 , 程 劲 (2016) 头盆环牵引、软组织松解在极重度脊柱畸形矫形中的应用。 临床医学进展， 6， 103-109. doi: 10.12677/ACM.2016.62019
 罗卓荆, 陶惠人. 重度脊柱畸形的治疗[J]. 第四军医大学学报, 2008, 29(5): 385.
 田慧中, 头盆环牵引治疗侏儒症[J]. 中国矫形外科杂志, 2003, 6(11): 421.
 O’Brien, J.P., Yau, A.C.M.C. and Smith. T.K. (1971) Halo Pelvic Traction. The Journal of Bone and Joint Surgery, 2, 217-219.
 郑君涛, 孟祥玉, 田慧中. 轻便头盆环联合截骨术在重度脊柱畸形矫形中的应用[J]. 新疆医科大学学报, 2011, 34(5): 536-539.
 田慧中, 马原, 吕霞. 颅盆牵引加弹性生长棒内固定治疗发育期间的脊柱侧凸[J]. 中国矫形外科杂志, 2008, 21(16): 1662.
 Ransford, A.O. and Manning, C.W.S.F. (1971) Halo-Pelvic Apparatus: Peritoneal Penetration by Pelvic Pins. The Journal of Bone and Joint Surgery, 3, 404-405.
 庞晓东, 匡正达, 纪慧茹, 等. 颅盆环牵引及后路内固定技术治疗重度脊柱侧弯[J]. 实用医学杂志, 2007, 8(23): 1207.
 赵聚峰, 杜志伟. 严重脊柱侧后凸畸形头盆环支撑牵引预治疗31例体会[J]. 实用骨科杂志, 2005, 3(11): 266.
 田慧中, 吕霞, 马原. 头盆环牵引全脊柱截骨内固定治疗重度脊柱弯曲[J]. 中国矫形外科杂志, 2007, 3(15): 171.
 梁益建, 王正雷, 马原, 等. 强直性脊柱炎脊柱畸形截骨矫形手术技巧[M]. 北京: 人民军医出版社, 2014: 92-99.