Halo-body device

Hughes, Sam; Cairns, Thomas; Iyer, Vishwanath; Liston, Jennifer; Thomson, Jeffrey D.

doi:10.1038/sc.1984.43

Spinal Cord

1984

DOI: 10.1038/sc.1984.43

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Halo-body device

Sam Hughes

Thomas Cairns²,

Vishwanath Iyer

et al.

Abstract: . 4 Ward Sister. 5 Charge Nurse Plaster Theatre. The Princess Margaret Rose Orthopaedic Hospital, Edinburgh, Scotland.Sutntnary. A halo-body system is described which has been developed at Princess Margaret Rose Orthopaedic Hospital in Edinburgh. The system is easy to apply and consists of a standard halo, linked to malleable plates by two hollow vertical rods. These rods are connected to the ring by swivel joints which allow for the movements of flexion and extension. The malleable plates are incorporated in… Show more

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Cited by 3 publications

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A review of halo vest treatment of upper cervical spine injuries

Vieweg

Schultheiß

2001

Archives of Orthopaedic and Trauma Surgery

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Thirty-five relevant studies involving in total 682 patients with 709 different types of injuries were evaluated in a review to determine the outcomes after immobilisation in a halo vest for various injuries to the upper cervical spine between 1962 and 1998. Studies were analysed according to the type of injury pattern and in terms of the treatment outcomes following primary treatment with a halo vest. The following types of injuries were evaluated: odontoid fractures (n = 420), hangman's fractures (n = 172), other axis fractures (n = 75), Jefferson fractures (n = 26), C1 arch fractures (n = 9), atlantooccipital (n = 2) and atlantoaxial dislocations (n = 5). The ligamentary atlantooccipital dislocations never healed. All isolated Cl ring fractures healed completely. The isolated C1 arch fractures healed in 83% of the cases. The ligamentary atlantoaxial dislocations had a 60% rate of healing. Healing was noted in all isolated odontoid type I fractures, 85% of the isolated odontoid type II fractures, and 67% of the odontoid type II fractures with combined injuries. The isolated odontoid type III fractures had a 97% healing rate. The non-classifiable odontoid fractures had a healing rate of 85%. The stable C2 arch fractures (hangman's fracture) healed consistently in 99%, and 90% success was found for other C2 fractures. A halo vest can be recommended for patients with isolated Jefferson fractures, hangman's fractures, odontoid type III and type II fractures, with a low dislocation rate. The results of treatment with a halo vest were unsatisfactory with regard to combined injuries with an odontoid type II fracture. An overall healing rate of 86%, however, allows one to conclude that this treatment continues to be a good alternative to operative stabilisation of bone injuries to the upper cervical spine.

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A review of halo vest treatment of upper cervical spine injuries

Vieweg

Schultheiß

2001

Archives of Orthopaedic and Trauma Surgery

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

Longo

Denaro

Campi

et al. 2010

Injury

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Cervical spine injury

Castillo¹,

Bell²

1988

Postgraduate Medicine

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The results of a spinal cord injury may be irreversible, or many months of rehabilitation may be required to restore a meaningful, functional lifestyle to the patient. Complications of the injury are numerous, and the financial burden of treatment can be overwhelming. The incidence of debilitating injury has decreased, however, since the advent of intensive education on emergency treatment and preventive methods. With continuing research, aggressive medical care, and innovative surgical methods, the prognosis for these patients, once dismal and devastating, may be greatly improved.

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Halo-body device

Cited by 3 publications

References 4 publications

A review of halo vest treatment of upper cervical spine injuries

A review of halo vest treatment of upper cervical spine injuries

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

Cervical spine injury

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