McIntosh Amy L, Ramo Brandon S, Johnston Charles E
Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA.
Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA.
Spine Deform. 2019 May;7(3):395-403. doi: 10.1016/j.jspd.2018.09.068.
For the past 35 years, we have used halo gravity traction (HGT) to treat patients with a wide variety of underlying spinal deformities. This clinical concepts review will cover the indications, contraindications, HGT technique details, and our preferred method of dynamic HGT. Emphasis will be placed on our protocol, and recommendations that help to avoid complications. HGT is best applied by a standardized team approach intending to medically and nutritionally optimize the patient in preparation for an operative or medical/interventional treatment that will maintain and improve on the deformity correction achieved while avoiding peri- and postoperative complications.
在过去35年里，我们一直使用头环重力牵引（HGT）来治疗各种潜在脊柱畸形患者。本临床概念综述将涵盖适应证、禁忌证、HGT技术细节以及我们首选的动态HGT方法。重点将放在我们的方案以及有助于避免并发症的建议上。HGT最好通过标准化的团队方法来应用，旨在从医学和营养方面优化患者，为进行手术或医学/介入治疗做准备，这种治疗将维持并改善已实现的畸形矫正效果，同时避免围手术期和术后并发症。
