Evaluation of the Influence of HaloGravity Traction upon the Results of Severe Neuromuscular Deformity Treatment


Evaluation of the effect of traction preoperative preparation on the degree of neuromuscular spinal deformity correction was performed. Treatment results for 50 patients with paralytic deformities operated on in 3 different clinics were analyzed. The patients were divided in 2 comparable groups, 25 patients in each group. In group 1 one-step intervention, i.e. dorsal correction under halo-traction and Ponte osteotomy was performed. In group 2 two-step correction, i.e. 12-14 days gradual halo-gravity traction followed by dorsal correction and Ponte osteotomy. Postoperative deformity correction made up 49 and 50% in the 1st and 2nd groups, respectively. In patients from the 2nd group the postoperative period was smoother. Thus, the study did not detect any influence of traction preparation on the degree of the deformity correction.

Full Text

Restricted Access


  1. Козлова С.И., Демикова Н. Наследственные синдромы и медико-генетическое консультирование. М.: «КМК, Авторская академия»; 2007: 174-5.
  2. Baumbach-Reardon L., Sacharow S., Ahearn M.E. Spinal muscular atrophy, X-linked infantile. Seattle (WA): University of Washington, Seattle; 1993.
  3. Бакланов А.Н., Колесов С.В., Шавырин И.А. Оперативное лечение нейромышечного сколиоза. Травматология и ортопедия России. 2013; 2 (61): 72-7.
  4. Lonstein J. Neuromuscular spinal deformity. In: Weinstein S. The pediatric spine - principles and practice. Philadelphia: Lippincott Williams & Wilkins. 2001: 789-96.
  5. Berven S., Bradford D. Neuromuscular scoliosis: causes of deformity and principles for evaluation and management. Semin. Neurol. 2002; 22 (2): 167-78.
  6. Seller K., Haas S., Raab P., Krauspe R., Wild A. Preoperative halo traction in severe paralytic scoliosis. Z. Orthop. Ihre Grenzgeb. 2005; 143 (5): 539-43 (in German).
  7. Sarwark J., Sarwahi V. New strategies and decision making in the management of neuromuscular scoliosis. Orthop. Clin. N. Am. 2008; 38: 485-95.
  8. Barsdorf A.I., Sproule D.M., Kaufmann P. Scoliosis surgery in children with neuromuscular disease: findings from the US National Inpatient Sample, 1997 to 2003. Arch. Neurol. 2010; 67 (2): 231-5.
  9. Keeler K.A., Lenke L.G., Good C.R., Bridwell K.H., Sides B., Luhmann S.J. Spinal fusion for spastic neuromuscular scoliosis: is anterior releasing necessary when intraoperative halo-femoral traction is used. Spine (Phila Pa 1976). 2010; 35 (10): Е427-33.
  10. Fujak A., Kopschina C., Gras F., Forst R., Forst J. Contractures of the lower extremities in spinal muscular atrophy type II. Descriptive clinical study with retrospective data collection. Ortop. Traumatol. Rehabil. 2011; 13 (1): 27-36.
  11. Prior T.W., Snyder P.J., Rink B.D., Pearl D.K., Pyatt R.E., Mihal D.C. et al. Newborn and carrier screening for spinal muscular atrophy. Am. J. Med. Genet. A. 2010; 152A (7): 1608-16.
  12. Master D.L., Son-Hing J.P., Poe-Kochert C., Armstrong D.G., Thompson G.H. Risk factors for major neuromuscular scoliosis. Spine (Phila Pa 1976). 2011; 36 (7): 564-71.
  13. Fujak A., Raab W., Schuh A., Kreb A., Forst R., Forst J. Operative treatment of scoliosis in proximal spinal muscular atrophy: results of 41 patients. Arch. Orthop. Trauma Surg. 2012; 132 (12): 1697-706.
  14. Arun R., Srinivas S., Mehdian S.M. Scoliosis in Duchenne’s muscular dystrophy: a changing trend in surgical management: a historical surgical outcome study comparing sublaminar, hybrid and pedicle screw instrumentation systems. Eur. Spine J. 2010; 19 (3): 376-83.
  15. Modi H.N., Suh S.W., Hong J.Y., Cho J.W., Park J.H., Yang J.H. Treatment and complications in flaccid neuromuscular scoliosis (Duchenne muscular dystrophy and spinal muscular atrophy) with posterior-only pedicle screw instrumentation. Eur. Spine J. 2010; 19 (3): 384-93.
  16. Brown C.A., Lenke L.G., Bridwell K.H., Geideman W.M., Hasan S.A., Blanke K. Complications of pediatric thoracolumbar and lumbar pedicle screws. Spine (Phila Pa 1976). 1998; 23: 1566-71.
  17. Broom M.J., Banta J.V., Renshaw T.S. Spinal fusion augmented by Luque-rod segmental instrumentation for neuromuscular scoliosis. J. Bone Joint Surg. Am. 1989; 71: 32-44.
  18. Mangone M., Raimondi P., Paoloni M., Pellanera S., Di Michele A., Di Renzo S. et al. Vertebral rotation in adolescent idiopathic scoliosis calculated by radiograph and back surface analysis based methods: correlation between the Raimondi method and rasterstereography. Eur. Spine J. 2013; 22 (2): 367-71.
  19. Greggi T., Lolli F., Di Silvestre M., Martikos K., Vommaro F., Maredi E. et al. Surgical treatment of neuromuscular scoliosis: current techniques. Stud. Health Technol. Inform. 2012; 176: 315-8.
  20. Suk S.-I., Kim J.H., Kim W.J., Lee S.M., Chung E.R., Nah K.H. Posterior vertebral column resection for severe spinal deformities. Spine (Phila Pa 1976). 2002; 27: 2374-82.
  21. Piazzolla A., Solarino G., De Giorgi S., Mori C.M., Moretti L., De Giorgi G. Cotrel-Dubousset instrumentation in neuromuscular scoliosis. Eur. Spine J. 2011; 20 (Suppl 1): S75-84.
  22. Rinella A., Lenke L., Whitaker C., Kim Y., Park S.S., Peelle M., Edwards C. 2nd, Bridwell K. Perioperativ halo-gravity traction in the treatment of severe scoliosis and kyphosis. Spine (Phila Pa 1976). 2005; 30: 475-82.
  23. Marques T.B., Neves J.C., Portes L.A., Salge J.M., Zanoteli E., Reed U.C.J. Air stacking: effects on pulmonary function in patients with spinal muscular atrophy and in patients with congenital muscular dystrophy. Bras. Pneumol. 2014; 40 (5): 528-34.
  24. Phillips J., Gutheil J., Knapp D. Iliac screw fixation in neuromuscular scoliosis. Spine (Phila Pa 1976). 2007; 32 (14): 1566-70.
  25. Phillips J.H., Knapp D.R.Jr, Herrera-Soto J. Mortality and morbidity in early onset scoliosis surgery. Spine (Phila Pa 1976). 2013; 38 (4): 324-7.
  26. Seller K., Haas S., Raab P., Krauspe R., Wild A. Preoperative halo-traction in severe paralytic scoliosis. Z. Orthop. Ihre Grenzgeb. 2005; 143: 539-43.
  27. Watanabe K., Lenke L.G., Bridwell K.H., Kim Y.J., Hensley M., Koester L. Efficacy of perioperative halo-gravity traction for treatment of severe scoliosis (≥100°). J. Orthop. Sci. 2010; 15: 720-30.
  28. Flierl S., Carstens C. The effect of halo-gravity traction in the preoperative treatment of neuromuscular scoliosis. Z. Orthop. Ihre Grenzgeb. 1997; 135: 162-70.



Abstract: 84


Article Metrics

Metrics Loading ...



  • There are currently no refbacks.

Copyright (c) 2016 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies