Title: Experimental investigation of halo-gravity traction for paediatric spinal deformity correction

Authors: Julie Kimsal, Tariq Khraishi, Kayvon Izadi, Eugene Limanovich

Addresses: Department of Mechanical Engineering, University of New Mexico, Albuquerque, NM 87131, USA. ' Department of Mechanical Engineering, University of New Mexico, Albuquerque, NM 87131, USA. ' Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM 87131, USA. ' Department of Anaesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, NM 87131, USA

Abstract: Paediatric spinal deformities pose much difficulty for orthopaedic surgeons. Halo-gravity traction using threaded stainless steel pins with a graphite halo device mounted to the skull has been successful, but is invasive and must be tailored specifically to each individual patient. Experimental and clinical testing in paediatrics has been performed to evaluate the halo-gravity traction method of correction to optimise required number of pins, and pin-torque loading parameters, with differing results. For paediatrics, surgeons do not apply loading exceeding 50% of a child|s body weight. The current study experiments with six and ten pin halo configurations under applied torque loading of 226, 452 and 678 Newton-millimetre (2, 4 and 6 inch-pound) to determine failure loading of the halo system. The results indicate that the failure load of the sawbone skulls far exceeds the average weight of a paediatric patient.

Keywords: halo-gravity traction; paediatrics; spinal deformity; child skull; spinal correction; pin-torque loading; orthopaedic surgery; pin halo configurations; failure loading; biomechanics.

DOI: 10.1504/IJECB.2009.029197

International Journal of Experimental and Computational Biomechanics, 2009 Vol.1 No.2, pp.204 - 213

Published online: 09 Nov 2009 *

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