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

Yıl 2021, Cilt: 8 Sayı: 2, 285 - 290, 30.06.2021
https://doi.org/10.34087/cbusbed.816636

Öz

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 <0.05. As a result of statistical analysis of the data, changes in physical function, social function, physical role difficulty, emotional role difficulty, mental health, energy / stamina / vitality and pain parameters were p <0.05 and were significant. The changes in the general health perception were not statistically significant.
Conclusion: In addition to the effectiveness of the halo gravity traction method applied in patients with rigid kyphoscoliosis, its positive effect on the patient's quality of life during the traction period is related to the adaptation period to traction. Daily traction training and maintenance is important in this adaptation. Solving the pain and sleep pattern problems of the patients has a positive effect on the quality of life during traction.

Kaynakça

  • 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.

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

Yıl 2021, Cilt: 8 Sayı: 2, 285 - 290, 30.06.2021
https://doi.org/10.34087/cbusbed.816636

Öz

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 <0.05 olarak belirlendi. Verilerin istatistik analiz sonucu fiziksel fonksiyon, sosyal işlev, fiziksel rol güçlüğü, emosyonel rol güçlüğü, ruhsal sağlık, enerji/canlılık/vitalite ve ağrı parametrelerindeki değişiklikler p <0.05 olup anlamlıydı. Genel sağlık algısındaki değişiklikler ise istatistiksel anlamlı değildi.
Sonuç: Rijit kifoskolyoz olan hastalarda uygulanan halo gravite traksiyon yönteminin etkinliğinin yanında hastanın traksiyon süresi boyunca yaşam kalitesi üzerindeki olumlu etkisinin traksiyona adaptasyon süresi ile ilişkilidir. Günlük traksiyon eğitiminin ve bakımının bu adaptasyonda önemli olmaktadır. Hastaların uyku düzeni ve ağrı sorunlarının çözülmesi traksiyon süresince yaşam kalitesi üzerine pozitif yönde etkilidir.

Kaynakça

  • 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.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Kemal Paksoy 0000-0002-7677-7356

Yayımlanma Tarihi 30 Haziran 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 2

Kaynak Göster

APA Paksoy, K. (2021). Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(2), 285-290. https://doi.org/10.34087/cbusbed.816636
AMA Paksoy K. Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi. CBU-SBED. Haziran 2021;8(2):285-290. doi:10.34087/cbusbed.816636
Chicago Paksoy, Kemal. “Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, sy. 2 (Haziran 2021): 285-90. https://doi.org/10.34087/cbusbed.816636.
EndNote Paksoy K (01 Haziran 2021) Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 2 285–290.
IEEE K. Paksoy, “Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi”, CBU-SBED, c. 8, sy. 2, ss. 285–290, 2021, doi: 10.34087/cbusbed.816636.
ISNAD Paksoy, Kemal. “Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/2 (Haziran 2021), 285-290. https://doi.org/10.34087/cbusbed.816636.
JAMA Paksoy K. Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi. CBU-SBED. 2021;8:285–290.
MLA Paksoy, Kemal. “Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 8, sy. 2, 2021, ss. 285-90, doi:10.34087/cbusbed.816636.
Vancouver Paksoy K. Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi. CBU-SBED. 2021;8(2):285-90.