Popescu Mihai B, Ulici Alexandru, Carp Madalina, Haram Oana, Ionescu Nicolae S
Emergency Hospital for Children "Grigore Alexandrescu", 011743 Bucharest, Romania.
11th Department, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Children (Basel). 2022 Nov 6;9(11):1701. doi: 10.3390/children9111701.
Scoliosis is one of the most frequent spine deformities encountered in children and is regularly discovered after 15 years of age with a girls to boys ratio of 2:1. Vertebral arthrodesis involves both short and long term complications. Neurological complications consist of nerve root injuries, cauda equina or spinal cord deficit. Traction is a good orthopaedic technique of progressive deformity correction which attempts to minimize complications. The purpose of this study is to assess the complications that arise during halo gravity traction and to evaluate the correction of the scoliotic curves under traction. A single centre prospective study was conducted on 19 paediatric patients suffering from scoliosis that were admitted between 2019-2022. Traction-related complications were encountered in 94.7% of patients, with the most frequent being cervical pain (89.5%). It was followed by back pain, in 36.8% of the cases, with just 5.3% of the cases having experienced vertigo or pin displacement. Neurological symptoms were present in 26.3% of the patients and pin pain and pin infection equally affected 26.3% of patients. Even though minor halo related complications are frequent, with proper patient monitoring they can be addressed, thus making traction a safe method for progressive curve correction.
脊柱侧弯是儿童中最常见的脊柱畸形之一，通常在15岁以后被发现，女孩与男孩的比例为2:1。椎体融合术会引发短期和长期并发症。神经并发症包括神经根损伤、马尾神经或脊髓功能缺损。牵引是一种矫正渐进性畸形的良好骨科技术，旨在尽量减少并发症。本研究的目的是评估头环重力牵引过程中出现的并发症，并评估牵引状态下脊柱侧弯曲线的矫正情况。对2019年至2022年间收治的19例患有脊柱侧弯的儿科患者进行了单中心前瞻性研究。94.7%的患者出现了与牵引相关的并发症，最常见的是颈部疼痛（89.5%）。其次是背痛，占36.8%的病例，只有5.3%的病例出现眩晕或牵引针移位。26.3%的患者出现神经症状，牵引针疼痛和牵引针感染均影响了26.3%的患者。尽管与头环相关的轻微并发症很常见，但通过对患者进行适当监测可以解决这些问题，从而使牵引成为一种矫正渐进性脊柱侧弯曲线的安全方法。
