当前位置： SCI文献检索 > BMC MUSCULOSKELETAL DISORDERS期刊下所有文献 > Iatrogenic biological fracture of the cervical spine during gradual halo traction for kyphotic deformity correction: case report.

Iatrogenic biological fracture of the cervical spine during gradual halo traction for kyphotic deformity correction: case report.

Abstract：

BACKGROUND:Severe kyphotic deformities carry high risk for neurological injuries as osteotomies are often required for correction. Surgeons often utilize a staged approach for dealing with these conditions starting with a period of halo traction to stretch tight soft tissues and partially correct the deformity, followed by surgery. Halo traction is a relatively safe procedure and complications are uncommon. We report a unique case of iatrogenic fracture of the cervical spine during gradual halo traction for deformity correction of a severe cervical kyphosis. CASE PRESENTATION:An 80-year-old female with previous cervical spine tuberculosis infection and C5-C6 anterior spinal fusion developed severe cervical kyphosis of 64° from C2-C6 and neck pain requiring deformity correction surgery. Gradual increase in traction weight was applied, aiming for a maximum traction weight of 45 pounds or half body weight. During the 1st stage halo-gravity traction, sudden neck pain and a loud cracking sound was witnessed during increase of the traction weight to 14 pounds. Imaging revealed a fracture through the C4 and reduction in kyphosis deformity to 11° from C2-C6. There was no neurological deficit. No further traction was applied and the patient underwent an in-situ occipital to T3 fusion without osteotomies. At 3-year follow-up, the patient was symptom-free and radiographs showed solid fusion and maintenance of alignment. CONCLUSIONS:Iatrogenic fracture may occur with halo traction. Elderly patients with osteoporotic and diseased bone should be closely monitored during the treatment. A fracture without complications was a fortunate complication as the patient was able to avoid any high-risk osteotomies for deformity correction. LEVEL OF EVIDENCE:IV.

journal_name

BMC Musculoskelet Disord

journal_title

BMC musculoskeletal disorders

authors

Lim ASL,Sali AAB,Cheung JPY

doi

10.1186/s12891-020-03350-x

subject

Has Abstract

pub_date

2020-05-21 00:00:00

pages

318

issue

issn

1471-2474

pii

10.1186/s12891-020-03350-x

journal_volume

pub_type

杂志文章

在线工具

Iatrogenic biological fracture of the cervical spine during gradual halo traction for kyphotic deformity correction: case report.