Halo-external fixator frame-assisted correction to treat severe kyphotic deformity in children younger than 4 years old
نویسندگان
چکیده
BACKGROUND: Severe kyphotic deformity in young children may have devastating outcomes when neglected. Halo-pelvic traction has been shown to be very effective as part of the treatment for severe kyphosis, but little is known about application this technique individuals. The aim case series was provide novel insights into surgical associated with halo-external fixator frame (HEFF) spinal patients younger than 4 years old, along radiologic and complications METHODS: Clinical demographic characteristics including duration HEFF, HEFF-associated change kyphosis angle (KA) final KA following definitive surgery were extracted from medical records RESULTS: Five female a mean age 36 months (range 30-44) included. Three had thoracic tuberculosis (mean 82°), one lumbar (KA 42°) iatrogenic post-laminectomy cervical (type 1 neurofibromatosis)(KA 112°). HEFF applied six weeks resulted correction 29° (38%), 23° (55%) 47° (42%). Definitive further overall 28, satisfactory (23° lordosis 31° kyphosis) at last follow-up. included pin-site infection, pneumonia dislodgement CONCLUSION: appears an method correcting where other options are limited. It allows independent mobilisation can stabilisation while awaiting bony healing after surgery. However, healthcare providers should aware potential dangers hardware, such difficulty establishing airway due fixed position neck Level evidence:
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ژورنال
عنوان ژورنال: SA Orthopaedic Journal
سال: 2022
ISSN: ['1681-150X', '2309-8309']
DOI: https://doi.org/10.17159/2309-8309/2022/v21n3a3