A comparison of posterior spinal osteotomy versus Halo traction with wide posterior release for severe spinal deformity
WANG Hua-feng
LIU Hui
ZHENG Zhao-min
LIANG Chun-xiang
WANG Jian-ru
WANG Hua
LI Ze-min
YE Fu-biao
LI Si-bei
PAN He-hai
Abstract：Objective To compare the perioperative complications and clinical outcomes of posterior spinal osteotomy and Halo traction with wide posterior release for severe spinal deformity. Methods Records of 29 patients with severe spinal deformity treated in our hospital were examined. Twelve were treated by wide posterior release with traction from August 2013 to June 2014(Traction Group), and 17 were treated with posterior spinal osteotomy from June 2012 to August 2013(Control Group ). The average preoperative main curve for Traction Group was 111.8° and for Control Group was 115.2°. The average preoperative maximal kyphosis for Traction Group was 113.3° and for Control Group was 118.5°. Radiographic and clinical outcomes were compared between groups. Results A t test demonstrated that the differences between the groups in age, sex, body mass index(BMI), preoperative main curve and maximal kyphosis, and preoperative main curve lfexibility were not statistically signiifcant. The postoperative deformity correction was comparable, however, the Traction Group had a statistically significant decrease in operative time [(322.1±102.5 ) min vs.(426.3±100.4 ) min, P=0.012 ], blood loss [(1241.7±999.5 ) ml vs.(2300.0±1449.1 ) ml, P=0.040 ], implant density [(58.0±16.2 )%vs.(77.4±13.1 )%, P=0.001 ] and total complication rate(16.7%vs. 58.8%, P=0.049 ). Conclusions Study shows that effects of posterior spinal osteotomy and Halo traction with wide posterior release for severe spinal deformity are similar. However, Halo traction with wide posterior release can avoid aggressive procedures, reduce operation time, blood loss, and perioperative complications.
Keywords：Spinal curvaturesScoliosisTractionOrthopedic proceduresOsteotomyPostoperative complications
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 896-900 )