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The Journal of Bone and Joint Surgery, Vol 58, Issue 8 1119-1125, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Halo-pelvic distraction apparatus. An analysis of one hundred and fifty consecutive patients

A Kalamchi, AC Yau, JP O'Brien and AR Hodgson

One hundred and fifty consecutive patients on whom the halo-pelvic apparatus was used were analyzed. Sixty-six per cent had tuberculous kyphosis or paralytic scoliosis. The apparatus was of great value in holding and correcting spines with tuberculous kyphosis and the results were gratifying, even though the average correction of the kyphos was only 20 per cent. In paralytic scoliosis a 46 per cent correction was obtained, but presently Dwyer and Harrington instrumentation are used for the majority of such cases. The halo-pelvic apparatus was effective in holding and correcting severe congenital curves and kyphoscoliosis secondary to neurofibromatosis, especially when there were signs of cord compression. The complication rate was high early in the series, but has been lowered by strict patient selection and close adherence to specific guidelines in the application of the apparatus. The apparatus should be reserved for severe deformities when other means of correction or stabilization are inadequate.
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M. D. SMITH, L. J. JOHNSON, J. H. PERRA, and B. A. RAWLINS
A Biomechanical Study of Torque and Accuracy of Halo Pin Insertional Devices
J. Bone Joint Surg. Am., February 1, 1996; 78(2): 231 - 8.
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