HALO TRACTION EFFECTIVENESS IN THE MANAGMENT OF CHILDREN WITH SEVERE RIGID SCOLIOSIS

Objective: To evaluate efficacy of halo-gravity traction in pediatric patients with severe rigid scoliosis. Methodology: We enrolled twenty five pediatric patients with severe rigid scoliosis were. All patients underwent halo device application under general anesthesia using six-pin fixation in standard cranial safe zones. Traction was initiated at 2-3 kg and progressively increased to a maximum of 50% body weight with adjustments based on individual tolerance and radiographic response. Radiographic evaluations were documented for spinal alignment changes with particular focus on coronal Cobb angle and kyphosis measurements. All surgical procedures were performed by experienced spinal surgeons. Results: Mean age was 12.80±2.81 years. Significant radiographic improvements were observed with mean coronal Cobb angles reducing from 102.44±14.78 degrees to 42.88±3.53 degrees post-surgery (p<0.0001). Kyphosis improved from 64.72±17.96 degrees to 31.12±7.81 degrees post-surgery (p<0.0001). One patient had pin tract infection and one patients had CSF leak. Conclusion: Preoperative halo-gravity traction exhibited an effective and safe approach for managing severe rigid scoliosis in pediatric patients.