+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Halo-fixator vest--indications and complications



Halo-fixator vest--indications and complications



Zentralblatt für Chirurgie 132(1): 54-59



Over the period between 06/00 and 03/03, 41 patients with different injuries of the upper cervical spine were treated by a halo fixator and were statistically recorded. The collective showed different injury patterns, 2 fractures of occiput condyles (5%), 3 Jefferson fractures (7%), 1 combined injury of the odontoid process and an atlas fracture (2%), 32 odontoid fractures (78%), 2 hanged-man-fractures Typ Effendi II (5%) and one case of pathologic fractures from the 2. to the 4. cervical vertebral body based on a plasmocytoma (2%). 31 of 41 patients could be examined for a follow up; 40 complete medical histories were well documented and could be analysed. As complications we had screw loosening in 6 cases (15%), a complete tear out of screws in 2 cases (5%). One patient took the halo away by himself two times, so after the second time surgical stabilisation was performed (2,5%). One case of intracranial penetration of a screw happened after the patient fell down in an accident with the halo (2,5%). Infection of the screw pins appeared in 4 cases (10%) and we had 2 cases of skin necrosis (5%). A second reduction after redisplacement was necessary in 8 cases (20%). 23 patients suffered from pain at the insertion of the screws (75%) and 18 patients complained of pressure in the head (58%). On the question of the comfort of this kind of therapy answered 18 patients with "intolerable" (58%), 10 patients with middle (32%) and 3 patients with tolerable (10%). Despite of the large number of different complications and the miscomfort of a halo fixator we think that there are still indications for treatment of special injuries of the upper cervical spine with a halo fixator. One important aspect is the lack of adequate alternatives even with regard to the biomechanical stability.

Accession: 049186082

Download citation: RISBibTeXText

PMID: 17304437

DOI: 10.1055/s-2006-960479


Related references

A new halo-vest: rationale, design and biomechanical comparison to standard halo-vest designs. Spine 13(3): 228-235, 1988

Complications associated with the halo-vest. A review of 245 cases. Journal of Neurosurgery 65(6): 762-769, 1986

Recurrent dislocations of the atlantooccipital and atlantoaxial joints in a halo vest fixator are resolved by backrest elevation in an elevation angle-dependent manner. Spine Journal 15(10): E69-E74, 2016

Complications in children managed with immobilization in a halo vest. Journal of Bone and Joint Surgery. American Volume 77(9): 1370-1373, 1995

The halo vest: principles of application and management of complications. Journal of Spinal Cord Medicine 26(3): 186-192, 2004

Complications in the use of the halo fixator. Zentralblatt für Neurochirurgie 62(1): 2-9, 2001

Complications of cervical halo-vest orthoses in elderly patients. Orthopedics 31(5): 446-446, 2009

Prediction of stability of cervical spine fracture managed in the halo vest and indications for surgical intervention. Journal of Neurosurgery 72(3): 426-432, 1990

Upper cervical spine injuries: indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety. Injury 41(11): 1127-1135, 2011

Incidence of and risk factors for complications associated with halo-vest immobilization: a prospective, descriptive cohort study of 239 patients. Journal of Bone and Joint Surgery. American Volume 91(1): 71-79, 2009

Assuring optimal physiologic craniocervical alignment and avoidance of swallowing-related complications after occipitocervical fusion by preoperative halo vest placement. Journal of Spinal Disorders & Techniques 22(3): 170-176, 2009

Pinless halo in the pediatric population: indications and complications. Journal of Pediatric Orthopedics 35(4): 374-378, 2015

Impact of age, injury severity score, and medical comorbidities on early complications after fusion and halo-vest immobilization for C2 fractures in older adults: a propensity score matched retrospective cohort study. Spine 37(10): 854-859, 2013

Universal hip fixator "Zespol". Construction of the fixator, principles of function, instrumentation, surgical technique, indications and results of treatment. Chirurgia Narzadow Ruchu i Ortopedia Polska 57(1-3): 256-262, 1992

Adapting shirts to fit over a halo vest. American Journal of Occupational Therapy 33(8): 524-525, 1979