+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Upper cervical spine injuries: indications and limits of the conservative management in Halo vest. A systematic review of efficacy and safety



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



The integrity of the upper cervical spine is essential for survival and function, because of the neurovascular structures contained within its bony elements. Fractures of the upper cervical spine (C1-C2) are frequent. This systematic review assesses the efficacy and safety of the conservative management in Halo vest for patients with upper cervical spine fractures. Two reviewers independently identified studies in English, by a systematic search of CINAHL, Embase, Medline, HealthSTAR, and the Cochrane Central Registry of Controlled Trials, from inception of each database to 28 January 2010, using various combinations of the keywords terms "odontoid fractures", hangman's fractures", "axis fractures", "axis", "atlas", "Jefferson fractures", "C1 arch fractures", "C1 fractures", "C2 fractures", "cervical spine", "injuries", "fracture", "trauma", "neck injury", "surgery". A total of 43 citations were obtained. An additional 4 papers were obtained from the reference list of the studies included. The 47 studies that were included described a total of 1078 patients with C1-C2 fractures managed by halo fixator. The halo fixator has a well defined place in the management of fractures of the cervical spine. Clearly, studies of higher level of evidence, for instance large randomised trials, should be conducted, even though the available evidences suggest that management of upper cervical spine fracture with halo fixator is safe and effective.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056779531

Download citation: RISBibTeXText

PMID: 20889154

DOI: 10.1016/j.injury.2010.09.025


Related references

Conservative treatment of upper cervical spine injuries with the halo vest: an appropriate option for all patients independent of their age?. Journal of Neurosurgery. Spine 10(6): 543-550, 2009

A review of halo vest treatment of upper cervical spine injuries. Archives of Orthopaedic & Trauma Surgery 121(1-2): 50-55, January, 2001

Optimal use of the halo-vest orthosis for upper cervical spine injuries. Yonsei Medical Journal 51(5): 648-652, 2010

Treatment of the upper cervical spine injuries with halo vest device. Medicina 39(9): 872-878, 2003

Temporary percutaneous spondylodesis C1/2 and halo vest immobilisation. An alternative treatment of complex injuries of the upper cervical spine. Der Unfallchirurg 109(12): 1099-1103, 2006

Halo-vest treatment of unstable injuries of the cervical spine. Tidsskrift for den Norske Laegeforening 100(22): 1272-1275, 1980

Preplacement of the back of the halo vest in patients undergoing cervical traction for cervical spine injuries: A technical note. Surgical Neurology 44(5): 476-478, 1995

A consecutive series of 64 halo-vest-treated cervical spine injuries. Archives of Orthopaedic and Traumatic Surgery. Archiv für Orthopadische und Unfall-Chirurgie 105(4): 243-246, 1986

Halo-vest treatment of unstable traumatic cervical spine injuries. Spine 13(4): 425-432, 1988

Halo vest treatment of cervical spine injuries: a success and survivorship analysis. Spine 34(15): 1561-1566, 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

Application of Halo-vest in stable reconstruction of unstable upper cervical spine. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 18(5): 399-401, 2004

The perioperative stabilization of the upper cervical spine in rheumatoid arthritis using the halo vest. Hamalainen, M , Et Al (Ed ) Rheumatology, Vol 13 Revisional Surgery in Rheumatoid Arthritis; Selected Papers From The Erass (European Rheumatoid Arthritis Surgical Society) Congresses X+265p S Karger Ag: Basel, Switzerland; New York, New York, Usa Illus 118-123, 1990

Stable reconstruction using halo vest for unstable upper cervical spine and occipitocervical instability. European Spine Journal 21(2): 295-303, 2012

Long term results of halo-vest fixation for upper cervical spine fractures. Chirurgia Narzadow Ruchu i Ortopedia Polska 72(1): 71-79, 2007