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Tytuł:
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[Clinical efficacy of short-term halo-pelvic traction combined with surgery in the treatment of severe spinal deformities].
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Autorzy:
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Xu BY; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Qi LT; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Wang Y; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Li CD; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Sun HL; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Wang SJ; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Yu ZR; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Zhao Y; Department of Orthopedics, Peking University First Hospital, Beijing 100034, China.
Liu LL; Department of Orthopedics, Linfen Second People's Hospital, Shanxi 041000, China.
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Źródło:
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Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences [Beijing Da Xue Xue Bao Yi Xue Ban] 2020 Oct 18; Vol. 52 (5), pp. 875-880.
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Typ publikacji:
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Journal Article
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Język:
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Chinese
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Imprint Name(s):
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Original Publication: Beijing : Beijing da xue, 2001-
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MeSH Terms:
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Kyphosis*/surgery
Scoliosis*/surgery
Adolescent ; Adult ; Female ; Humans ; Male ; Retrospective Studies ; Traction ; Treatment Outcome ; Young Adult
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References:
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Contributed Indexing:
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Keywords: Correction rate; Correction surgery; Halo-pelvic traction; Severe; Short-term; Spinal deformities
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Entry Date(s):
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Date Created: 20201013 Date Completed: 20201014 Latest Revision: 20201113
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Update Code:
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20240105
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PubMed Central ID:
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PMC7653417
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PMID:
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33047722
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Objective: To evaluate the clinical efficacy of short-term halo-pelvic traction (HPT) combined with surgery in the treatment of severe spinal deformities.
Methods: In the study, 24 patients diagnosed as severe spinal deformity accepted the treatment of one-stage short-term HPT and two-stage surgery from January 2015 to May 2018 in our orthopedics department. 24 cases (9 males and 15 females) were retrospectively reviewed. The average age of the cohort was (28.8±10.0) years (12－48 years). The height, scoliosis angle, kyphosis angle, the height difference of shoulders, the height difference of crista iliaca, C7PL-CSVL and the perpendicular distance of S1 and the convex point of the patients were assessed at pre-traction, post-traction and post-surgery. The paired t test was used to analyze the difference among pre-traction, post-traction and post-surgery.
Results: The average traction time of 24 cases was (2.5±1.1) weeks (1－5 weeks). The height of pre-traction and post-traction were (141.7±11.2) cm (116-167 cm) and (154.1±9.5) cm (136－176 cm) respectively, showing significant difference ( P < 0.05), and the increased height was (12.4±4.6) cm (4－20 cm). The average scoliosis angle before traction was 104.9°±35.0°(25°－158°), and it was significantly decreased in post-traction[64.8°±21.0°(19°－92°)] and post-surgery[39.3°±17.0° (10°-70°)] ( P < 0.05). The traction's coronal correction rate was 37.2%±10.9% (11.9%－51.2%) and the total coronal correction rate was 61.9%±12.6%(26.9%-79.0%). The average kyphosis angle before traction was 106.9°±29.2°(54°－163°), and it was significantly decreased in post-traction [63.1°±17.1°(32°－92°)] and post-surgery [39.0°±16.8°(10°－68°)]( P < 0.05). The traction's sagittal correction rate was 40.0%±10.7%(16.7%－55.5%) and the total sagittal correction rate was 64.3%±10.7%(49.0%－87.5%). The average C7PL-CSVL before traction was (3.2±2.8) cm, and it was significantly decreased in post-traction [(2.5±2.5) cm] ( P < 0.05). The perpendicular distance of S1 and the convex point before traction was (10.5±4.8) cm, and it was significantly decreased in post-traction[(8.4±3.5) cm] ( P < 0.05).
Conclusion: The one-stage short-term HPT combined with two-stage surgery is a safe and effective procedure for severe spinal deformities. The clinical efficacy is satisfactory and the complication is relatively less.
