Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi

Giriş ve Amaç: Rijit kifoskolyoz hastalığının tedavisinde çözülmesi gereken birçok problem bulunur. Bu çalışmada amaç sorunların tedavisinde kullanılan halo gravite traksiyonu uygulanmasının hastalarda günlük yaşam aktivitelerine, fonksiyonlarına ve ruhsal durumlarına etkilerini ortaya koymaktı. Gereç ve Yöntemler: Rijit kifoskolyoz tanısı ile cerrahisi yapılacak hastalara cerrahi öncesi halo gravite traksiyonu uygulandı. Çalışmamıza traksiyon tedavisi gören toplam 14 hasta alındı. Toplam 14 hastanın %28,6’sı (n=4) erkek, %71,4’ü kadın (n=10) idi. Ortalama yaş 17.22 ± 6.15 idi. Hastaların 6’sı (%42,8) idiyopatik skolyoz, 5’i (%35,7) konjenital skolyoz ve 3’ü (%21,5) nöromüsküler skolyozdu. Hastalara işlem sonrası 10’uncu gün ve traksiyon işlemi sonrası birinci ayda yaşam kalite ölçeklerinden Medical Outcome Study Short Form-36 (SF-36) ile değerlendirilmesi yapıldı. Bulgular: Halo traksiyon uygulamasının verilerinin analizi için Wilcoxon Signed Ranks Testi kullanıldı. İstatistiksel anlamlılık düzeyi p

Anahtar Kelimeler:

Rijit Kifoskolyoz, halo gravite traksiyonu, Yaşam kalite ölçeği

Evaluation of the Effect of Halo Gravity Traction on Quality of Life in Patients with Rigid Kyphoscoliosis

ObjectiveThere are abundant problems have to be solved in the treatment of rigid kyphoscoliosis. The aim of this study was to reveal the effects of halo gravity traction application, which is used in the treatment of problems, on daily life activities, functions and mental states of patients. Material and Methods: Halo gravity traction was applied before their surgeries to patients who will undergo surgery with a diagnosis of rigid kyphoscoliosis. A total of 14 patients who received traction therapy were included in our study. 28.6% (n = 4) of a total of 14 patients were male and 71.4% were female (n = 10). The mean age was 17.22 ± 6.15. Six (42.8%) of the patients were idiopathic scoliosis, 5 (35.7%) congenital scoliosis and 3 (21.5%) neuromuscular scoliosis. The patients were evaluated with the Medical Outcome Study Short Form-36 (SF-36), one of the quality of life scales, on the 10th day after the procedure and in the first month after the traction procedure. Results: Wilcoxon Signed Ranks Test was used to analyze the data of the halo traction application. Statistical significance level was set at p

Keywords:

Halo gravity traction, Rigid kyphoscoliosis, Quality of life scale.,

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Shimode, M, Kojima, T, Sowa, K, Spinal wedge osteotomy by a single posterior approach for correction of severe and rigid kyphosis or kyphoscoliosis, Spine, 2002, 27(20), 2260–2267.
Ponte, A, Orlando, G, Siccardi, G.L, The true Ponte osteotomy: by the one who developed it, Spine deformity, 2018, 6(1), 2–11.
Lenke, L.G, Sides, B.A, Koester, L.A, Hensley, M, Blanke, K.M, Vertebral column resection for the treatment of severe spinal deformity, Clinical Orthopaedics and Related Research, 2010, 468(3), 687–699.
Garabekyan, T, Hosseinzadeh, P, Iwinski, H.J, et al., The results of preoperative halo-gravity traction in children with severe spinal deformity, Journal of Pediatric Orthopaedics B, 2014, 23(1), 1–5.
Yang, C, Wang, H, Zheng, Z, Zhang, Z, Wang, J, Liu, H, Kim, YJ, Cho, S, Halo-gravity traction in the treatment of severe spinal deformity: a systematic review and meta-analysis, European Spine Journal, 2017, 26(7), 1810-1816.
Smiljanic, I, Kovac, V, Cimic, M, Changes in pulmonary functional parameters after surgical treatment of idiopathic scoliosis, Collegium Antropologicum, 2009, 33(Suppl 2), 145–52.
Bogunovic, L, Lenke, L.G, Bridwell, K.H, Luhmann, S.J, Preoperative halo-gravity traction for severe pediatric spinal deformity: Complications, radiographic correction and changes in pulmonary function, Spine Deformity, 2013, 1(1), 33–39.
Ware, J.E, Jr., Sherbourne, C.D, The MOS 36-Item Short-Form Health Survey (SF-36): I, Conceptual Framework and Item Selection, Medical Care, 1992, 30, 473-483.
Sink, E.L, Karol, L.A, Sanders, J, Birch, J.G, Johnston, C.E, Herring, J.A, Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children, Journal of Pediatric Orthopaedics B, 2001, 21(4), 519–524.
Zhang, H.Q, Gao, Q.L, Ge, L, et al., Strong halo-femoral traction with wide posterior spinal release and three dimensional spinal correction for the treatment of severe adolescent idiopathic scoliosis, Chinese Medical Journal, 2012, 125(7), 1297–302.
Bao, H, Yan, P, Bao, M, et al., Halo-gravity traction combined with assisted ventilation: an effective pre-operative management for severe adult scoliosis complicated with respiratory dysfunction, European Spine Journal, 2016, 25(8), 2416–2422.
Janus, G.J, Finidori, G, Engelbert, R.H, Pouliquen, M, Pruijs, J.E, Operative treatment of severe scoliosis in osteogenesis imperfecta: results of 20 patients after halo traction and posterior spondylodesis with instrumentation, European Spine Journal, 2000, 9, 486–491.
Bouchoucha, S, Khelifi, A, Saied, W, Ammar, C, Nessib, M.N, Ben, Ghachem M, Progressive correction of severe spinal deformities with halo-gravity traction, Acta Orthopaedica Belgica, 2011, 77, 529–534.
Nemani, V.M, Kim, H.J, Bjerke-Kroll, B.T, Yagi, M, Sacramento, C, Akoto, H, et al., Preoperative halo-gravity traction for severe spinal deformities at an SRS-GOP site in West Africa: protocols, complications, and results, Spine (Phila Pa 1976), 2015, 40, 153–161.
Sponseller, P.D, Takenaga, R.K, Newton, P, Boachie, O, Flynn, J, Letko, L, et al., The use of traction in the treatment of severe spinal deformity, Spine (Phila Pa 1976), 2008, 33, 2305–2309.
Koller, H, Zenner, J, Gajic, V, et al., The impact of halo-gravity traction on curve rigidity and pulmonary function in the treatment of severe and rigid scoliosis and kyphoscoliosis: A clinical study and narrative review of the literature, European Spine Journal, 2012, 21(3), 514–29.
Saeed, M.U, Dacuycuy, M.A, Kennedy, D.J, Halo pin insertion-associated brain abscess: Case report and review of literature, Spine, 2007, 32(8), E271–74.
Garfin, S.R, Botte, M.J, Nickel, V.L, Complications in the use of the halo fixation device, Journal of Bone and Joint Surgery, 1987, 69(6), 954.
Xia, L, Li, P, Wang, D, Bao, D, Xu, J, Spinal osteotomy techniques in management of severe pediatric spinal deformity and analysis of postoperative complications, Spine (Phila Pa 1976), 2015, 40, E286–E292.
Bumpass, D.B, Lenke, L.G, Bridwell, K.H, Stallbaumer, J.J, Kim, Y.J, Wallendorf, M.J, et al., Pulmonary function improvement after vertebral column resection for severe spinal deformity, Spine (Phila Pa 1976), 2014, 39, 587–595.
Park, D.K, Braaksma, B, Hammerberg, K.W, Sturm, P, The efficacy of preoperative halo-gravity traction in pediatric spinal deformity the effect of traction duration, Journal of Spinal Disorders & Techniques, 2013, 26, 146–154.