Treatment of Extreme XXXX Using Spinal Osteotomy and Halo-pelvic Traction: A Case Report.

@entity1 @entity1353 @entity1513 @entity16 @entity51 @entity1576 @entity451 @entity85 @entity378
STUDY DESIGN: A case report of treatment of extreme @entity378 using spinal osteotomy and halo-pelvic traction. OBJECTIVE: To describe the process and outcome of treatment of a case with extreme @entity378 using spine osteotomy and halo-pelvic traction. SUMMARY OF BACKGROUND DATA: Spinal TB causes @entity85 , and @entity451 . Long-standing @entity1513 may progress with growth in @entity1 , and produces @entity1576 , and @entity51 . Surgery may help to prevent or reverse the @entity16 , while improving pulmonary function in cases with significant @entity85 . METHODS: Review of records and radiographs. RESULTS: A 24-year-old female with @entity378 presented with bilateral lower extremities paresis and @entity1353 . The vertebral bodies from T3-T9 were severely destructed, with a Cobb's angle of 180  on radiographs. The total duration of distraction using halo-pelvic apparatus kept 10 months. During the duration of traction, the @entity1 underwent a posterior release surgery because flexibility of the @entity1513 was not sufficient. Pedicle subtraction osteotomy and pedicle screw fixation were performed to achieve final correction when the Cobb's angle decreased to about 80  . After the whole treatment of halo-pelvic traction and spine ostetomy, the @entity1 's height increased nearly 30cm, while the angular @entity1513 was corrected to a Cobb's angle of 30  . The @entity1 had no complication and @entity16 during the treatment. Correction angle and good sagittal balance were well maintained in the duration of 2 years follow up. CONCLUSIONS: The halo-pelvic apparatus produces high corrective forces applied over a long period, and it provides a slow and safe correction of deformity. In cases of extreme @entity85 , halo-pelvic traction is an appropriate technique, while avoiding many serious complications from a rapid, one-stage correction. LEVEL OF EVIDENCE: N/A.
