5. A CASE REPORT OF A SEVERE KYPHOSCOLIOSIS TREATED BY HALO TRACTION POST POSTERIOR SPINAL INSTRUMENTATION AND FOLLOWED BY A CORRECTION AND FUSION
Main Article Content
Abstract
Introduction: Over the past decades, severe scoliosis cases were often treated with Halo traction prior to a single-stage correction and fusion surgery, which resulted in a prolonged operation, with many potential perioperative complications, posing a great challenge to both surgeons and anesthesiologists. Halo traction post posterior spinal release operation and followed by a second correction and fusion surgery has emerged as an effective alternative treatment method.
Purpose: By clinical case, the two-stage surgical treatment is evaluated by result and literature review.
Methods: Patient data has been collected preoperatively, perioperatively and postoperatively during hospital staying.
Results: Our patient was a 14 years old female patient with severe double curves scoliosis and Von Recklinghausen syndrome. Stage one procedure prolonged 254 minutes with inferior articular process osteotomy and pedicle screw insertion; then, Halo traction maintained for 17 days. Stage two procedure was 190 minutes with posterior column osteotomy, correction and bone graft.
Conclusion: The two stage surgical treatment method was applied and initially showed encouraging clinical and radiological results. However, long - term follow-up is essential.
Article Details
Keywords
Complications, scoliosis, Halo traction
References
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