Halo-骨盆牵引治疗重度脊柱侧弯畸形的效果及其对肺功能的影响

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (2111 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effects of Halo pelvic traction (HPT) on severe scoliosis and lung function. Methods A retrospective analysis was conducted on the clinical data of 100 patients with scoliosis and pulmonary insufficiency admitted to Beijing Dawang Road Emergency Rescue Hospital from January 2021 to October 2023. All patients received primary HPT traction treatment and secondary scoliosis correction surgery. The changes of imaging indicators and pulmonary function indexes were compared before traction, after the last traction follow-up and after internal fixation surgery. Pearson statistical correlation was used to analyze the effect of the Cobb angle on the main curvature on lung function indicators. Results The results of lung function in the included patients showed that the restrictive ventilation function parameters increased in different degrees before traction, during the last traction follow-up and after internal fixation surgery (P<0.05). Correlation analysis showed that with the decrease of Cobb angle of the main curvature, lung restrictive ventilation function parameters were significantly negatively correlated (P<0.05). Conclusions HPT traction can effectively correct severe scoliosis deformity and improve respiratory function, which is a safe and effective adjunctive treatment measure.

Key words： Halo-pelvic traction pulmonary insufficiency severe spinal deformity

Received: 12 December 2023

ZTFLH:

R687.3

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIA Jiyuan
	YANG Yunfei
	HUANG Lijun
	XIA Qingfu
	ZHANG Yushuang

Cite this article:

XIA Jiyuan,YANG Yunfei,HUANG Lijun等. Effect of Halo pelvic traction on severe scoliosis and lung function[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(3): 230-234.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I3/230

[6]	史本龙,李洋,刘臻,等.Halo重力牵引在伴神经损害的严重上胸段角状后凸畸形矫形术前的应用[J].中华骨科杂志,2021,41(7):412-419.
[1]	Garg B, Mehta N. Modified posterior vertebral column resection for severe spinal deformity: a retrospective, comparative study[J]. Spine J,2020,20(9):1446-1451.
[7]	Sun Y, Zhang Y, Ma H, et al. Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis[J]. Eur Spine J,2023,32(3):874-882.
[2]	Jagger F, Tsirikos A I, Blacklock S, et al. Adaptation to reduced lung function in children and young people with spinal deformity[J]. J Clin Orthop Trauma,2020,11(2):191-195.
[8]	张玉双,方程,黄立军,等.应用Halo-骨盆牵引治疗成人极重度僵硬性脊柱畸形的临床效果[J].骨科临床与研究杂志,2021,6(6):340-345.
[3]	Lin S, Ma S, Zhou Z, et al. Improvement of pulmonary function and reconstructed 3D lung volume after deformity correction for thoracic spinal posttubercular kyphosis: a multicenter study[J]. J Neurosurg Spine,2023,39(1):58-64.
[9]	McIntosh A L, Ramo B S, Johnston C E. Halo gravity traction for severe pediatric spinal deformity: a clinical concepts review[J]. Spine Deform,2019,7(3):395-403.
[4]	王力航,陈啟鸰,陆廷盛,等.头-盆环牵引矫正重度僵硬脊柱畸形的意义[J].中国矫形外科杂志,2022,30(18):1704-1707.
[10]	Yang C, Wang H, Zheng Z, et al. Halo-gravity traction in the treatment of severe spinal deformity: a systematic review and meta-analysis[J]. Eur Spine J,2017,26(7):1810-1816.
[5]	Hu M, Lai A, Zhang Z, et al. Intraoperative halo-femoral traction during posterior spinal arthrodesis for adolescent idiopathic scoliosis curves between 70° and 100°: a randomized controlled trial[J]. J Neurosurg Spine,2021,36(1):78-85.
[11]	海涌.中国脊柱外科发展史[J].中国骨与关节杂志,2019,8(10):721-725.
[6]	史本龙,李洋,刘臻,等.Halo重力牵引在伴神经损害的严重上胸段角状后凸畸形矫形术前的应用[J].中华骨科杂志,2021,41(7):412-419.
[12]	Qi L, Xu B, Li C, et al. Clinical efficacy of short-term pre-operative halo-pelvic traction in the treatment of severe spinal deformities complicated with respiratory dysfunction[J]. BMC Musculoskelet Disord,2020,21(1):665.
[7]	Sun Y, Zhang Y, Ma H, et al. Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis[J]. Eur Spine J,2023,32(3):874-882.
[13]	杜萍,许华晔,朱慧杰,等.红细胞悬液预先洗涤法预防小儿脊柱侧弯矫形术中高钾血症的效果研究[J].中国医师进修杂志,2020,43(11):969-972.
[8]	张玉双,方程,黄立军,等.应用Halo-骨盆牵引治疗成人极重度僵硬性脊柱畸形的临床效果[J].骨科临床与研究杂志,2021,6(6):340-345.
[14]	隋文渊,刘瀚忠,张伟,等.Halo重力牵引对伴呼吸功能障碍的重度僵硬性脊柱畸形青少年患者肺功能的影响[J].中华骨与关节外科杂志,2019,12(1):30-34.
[9]	McIntosh A L, Ramo B S, Johnston C E. Halo gravity traction for severe pediatric spinal deformity: a clinical concepts review[J]. Spine Deform,2019,7(3):395-403.
[15]	Wang J, Han B, Hai Y, et al. How helpful is the halo-gravity traction in severe spinal deformity patients? A systematic review and meta-analysis[J]. Eur Spine J,2021,30(11):3162-3171.
[10]	Yang C, Wang H, Zheng Z, et al. Halo-gravity traction in the treatment of severe spinal deformity: a systematic review and meta-analysis[J]. Eur Spine J,2017,26(7):1810-1816.
[16]	刘盾,李洋,史本龙,等.Halo重力牵引在Ⅰ型神经纤维瘤病伴严重脊柱侧后凸畸形患者中的应用研究[J].中华外科杂志,2019,57(2):119-123.
[11]	海涌.中国脊柱外科发展史[J].中国骨与关节杂志,2019,8(10):721-725.
[17]	Qi L, Zhao Y, Xu B, et al. Two-stage treatment for severe spinal kyphotic deformity secondary to tuberculosis: halo-pelvic traction followed by a posterior-only approach correction[J].BMC Musculoskelet Disord,2022,23(1):991.
[12]	Qi L, Xu B, Li C, et al. Clinical efficacy of short-term pre-operative halo-pelvic traction in the treatment of severe spinal deformities complicated with respiratory dysfunction[J]. BMC Musculoskelet Disord,2020,21(1):665.
[13]	杜萍,许华晔,朱慧杰,等.红细胞悬液预先洗涤法预防小儿脊柱侧弯矫形术中高钾血症的效果研究[J].中国医师进修杂志,2020,43(11):969-972.
[14]	隋文渊,刘瀚忠,张伟,等.Halo重力牵引对伴呼吸功能障碍的重度僵硬性脊柱畸形青少年患者肺功能的影响[J].中华骨与关节外科杂志,2019,12(1):30-34.
[15]	Wang J, Han B, Hai Y, et al. How helpful is the halo-gravity traction in severe spinal deformity patients? A systematic review and meta-analysis[J]. Eur Spine J,2021,30(11):3162-3171.
[16]	刘盾,李洋,史本龙,等.Halo重力牵引在Ⅰ型神经纤维瘤病伴严重脊柱侧后凸畸形患者中的应用研究[J].中华外科杂志,2019,57(2):119-123.
[17]	Qi L, Zhao Y, Xu B, et al. Two-stage treatment for severe spinal kyphotic deformity secondary to tuberculosis: halo-pelvic traction followed by a posterior-only approach correction[J].BMC Musculoskelet Disord,2022,23(1):991.