Halo vest versus spinal fusion for cervical injury | 合法醫療器材資訊網

由RDBucholz著作·1989·被引用161次—Ofthe57patientswithC3-T1injuries,13(23%)failedtreatment,nineofwhomhadlockedorperchedfacets.Thefactorscausingfailureofhalofixationwere ...

The indications for surgical fusion, as opposed to halo fixation, in the management of cervical spine injury are still unclear. At St. Louis University Medical Center a conservative protocol has been adopted to treat almost all cervical spine fractures with halo fixation. To determine what factors have contributed to failure of halo fixation, the records and radiographs of all patients with cervical spine injuries who were treated at that institution between 1984 and 1986 were reviewed. During this interval, 124 patients were treated, consisting of 93 men and 31 women between 6 and 94 years old. Of these, 15 (12%) had cervical fusion without preoperative halo device application. This group included eight patients with old injuries and delayed diagnosis, three with nonreducible locked facets, and four with miscellaneous indications. The remaining 109 patients were treated with halo vests. Four died before completing ...