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Halo-gravity traction (HGT) is a type of traction device utilized to treat spinal deformities such as scoliosis, [1] [2] congenital spine deformities, cervical instability, basilar invagination, and kyphosis. [3] It is used prior to surgical treatment to reduce the difficulty of the following surgery and the need for a more dangerous surgery.
[8] [18] Long-term cervical spine immobilization in patients with cervical spine fracture who did not undergo surgery can be performed using a long-term cervical collar (Miami J, [6] [8] Philadelphia, [8] or Aspen [8]) or halo traction device. [8] [12] When using a traction device such as the halo to hold the spine in place while it heals, this ...
When mechanical traction is combined with other physical therapy modalities such as passive mobilization, massage, stretching and active exercises, it is an effective treatment for pain reduction in cervical or lumbar spine disorders. [5]
Stagnara utilized the halo device, invented in the 1960s by doctors at Riancho Los Amigos Hospital, to develop Halo-gravity traction in 1971. [26] [27] [28] This method of treating severe spinal deformities has since become one of the most popular treatments for spinal issues. In 1982 he helped found the European Spinal Deformity Society.
Traction can be applied by free weights on a pulley or a halo type brace. The halo brace is the most rigid cervical brace, used when limiting motion to the minimum that is essential, especially with unstable cervical fractures. It can provide stability and support during the time (typically 8–12 weeks) needed for the cervical bones to heal.
Traction is offered as a non-surgical method of spinal decompression. [4] A 2021 meta-analysis showed physiotherapy was an effective method of managing prolapsed lumbar intervertebral discs; [ 5 ] but was unable to establish the source of the pain relief reported.
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
Chiropractic Biophysics (CBP)—A technique that aims to correct improper curvatures of the spine with traditional chiropractic manipulation (SMT), focused rehabilitation exercises, and a unique form of spinal traction that utilizes mechanically-assisted and focused stretching to stretch and remodel the ligaments and related tissues of the spine.