Evaluation of Halopelvic Traction for Curve Correction in Spinal Deformities

Abstract

Introduction: The treatment of severe spinal deformities has always been a difficult task for surgeons. The treatment modalities range from minimal invasive to extensive mobilisation and instrumentation. Halo pelvic traction had proved to be quite effective in correction of these deformities. Hence we intended to study its role in our population with severe spinal deformities. Materials and Method: The present study involved 25 consenting patient with severe kyphoscoliosis. Preoperative examination and routine investigation were done. Halo-pelvic traction was applied after anterior release. Posterior Fusion was carried out after maximum possible correction achieved. HPT was removed after consolidation of fusion. Results: The Mean age was 13.88yrs with male:female ratio 1:1. The most common etiologies were congenital or idiopathic. HPT was applied for 22.7weeks. The mean correction of deformity achieved was 38.6 o . The complications were primarily minor and temporary. Overall satisfaction rate was good. Conclusions: The results of our study highlight the importance of HPT as simple and affordable equipment for correction of spinal deformities. The complications, though, do occur, but can be curtailed by careful and proper management.