Pathology

Complications Related to Perioperative Halo Traction in the Treatment of Severe Scoliosis

Anthony Rinella, M.D.
Loyola University Medical School
Lawrence G. Lenke, MD
The Jerome J. Gilden Professor of Orthopedic Surgery
Co-Chief Pediatric & Adult Spinal, Scoliosis & Reconstructive Surgery
St. Louis, MO
Camden Whitaker, M.D.
Wichita, KS
J. Whorton, R.N.
Poster from the SRS 2002 Annual Meeting
PURPOSE: We analyzed consecutive cases of severe scoliosis treated with perioperative halo traction.
METHODS: 27 pts. with severe scoliosis of various etiologies were analyzed. Possible treatment protocols included traction-PSF, ASF-traction-PSF, traction-ASF-traction-PSF, and other.

RESULTS: There were 5 traction-related problems: pin loosening (2), and nystagmus (2) or nausea (1) that resolved with reduction of traction. Postop there were 3 sup. wound infections, 1 rod migration, 2 temporary brachial plexopathies, and 1 pseudarthrosis. There were no permanent neurologic deficits.

CONCLUSIONS: Perioperative halo traction is safe and effective method to assist with correction of severe scoliotic curves. It is important to recognize the signs of excessive traction, but major complications including neurologic were avoided during treatment of these complex spinal deformities.
Last Updated: 09/13/2005
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