Utilidad de la tracción halo-gravedad en el tratamiento de la escoliosis grave

• Belloso Moreno, Isabel ^[1] ; Vela Panes, Tomás ^[1] ; García Guerrero, Gaspar Luis ^[1]
  1. [1] Hospital Universitario Puerta del Mar

     Hospital Universitario Puerta del Mar

     Cádiz, España

     
• Localización: Revista de la Sociedad Andaluza de Traumatología y Ortopedia, ISSN-e 1578-9756, Vol. 39, Nº. 1, 2022, págs. 8-15
• Idioma: español
• Títulos paralelos:
  • The use of halo-gravity traction in the treatment of severe scoliosis
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo: realizar un análisis de la capacidad de corrección de la curva con tracción halo-gravedad previa a cirugía en escoliosis graves. Material y métodos: revisión retrospectiva de pacientes que cumpliesen criterios de inclusión: curva mayor de 85º sometidos a tracción halo-gravedad. Descripción del protocolo: mantener al paciente en tracción durante un mínimo de 3 semanas, alcanzado un peso total de tracción del 30% en relación al peso del paciente. Resultados: se revisan un total de 8 pacientes con un peso medio de 40,37 kg. Las mediciones iniciales del ángulo de Cobb fueron de una media de 96,38º en la curva principal y 62,5º y en la curva menor. La duración media de la tracción fue de 3,5 semanas y un peso medio de 15,62 kg. Tras la tracción se obtuvo una corrección media de 35º en la curva principal y de 16,12º en la curva menor. Una vez realizada la cirugía definitiva la media de los ángulos de Cobb fue de 37,25º para la curva principal y de 25,5º para la curva menor. Conclusiones: la tracción halo-gravedad según nuestro protocolo constituye un método seguro y efectivo que puede ayudar a conseguir mejores resultados y a disminuir las complicaciones en la cirugía de escoliosis grave.

  • English

    Objetivo. Analyse the corrective capacity of halo-gravity traction before surgery in severe scoliosis. Material and methods. Retrospective review of patients who met inclusion criteria: curve greater than 85º subjected to halo-gravity traction. Protocol: keep the patient in traction for at least 3 weeks, reaching a maximum traction of 30% of the patient’s body weight. Results. A total of 8 scoliosis patients with an average weight of 40,37 Kg were analysed. Cobb's initial angle measurements were an average of 96,38º on the main curve and 62,5º on the minor curve. The average traction duration was 3,5 weeks with an average weight of 15,62 kg. After traction, we obtained an average correction of 35º on the main curve and 16.12º on the minor curve. Once the final surgery was performed, cobb's mean angles were 37.25 degrees for the main curve and 25.5 degrees for the minor curve.Conclusions. According to our protocol, halo-gravity traction is a safe and effective method that can help to achieve better results and decrease complications in severe scoliosis surgery.

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