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OandP 4
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Uses of halo
----Prior to surgery
: minimize spinal movement and protect spinal cord during surgery
----Immediate post-op after ORIF or fusion
: control cervical motion until adequate healing and bony fusion occurs
----Non surgical management
: management of non-displaced upper cervical vertebral fx
Components of halo ring
below greater equator of the skull
~1cm above eyebrow and tip of ears via 4 pins 1/8 inch into outer bony table of skull
anterior pins lateral 1/3 of eyebrow to avoid frontal sinus, supraorbital and subtrochlear nerves and temporalis muscle
posterior pins 1-2 cm posterior ear in diagonal opposition to anterior pin site
pins inserted perpendicular to skull to maximize load and minimize deformation of pin bone complex to decrease risk of failure
Components of halo superstructure
fixate ring to vest
can be adjusted so patient head and neck in optimal position relative to injury or surgery
Components of halo vest
foundation and point of stability for halo system
flexible thermoplastic design with removable liner
distal trimline
: at or slightly above inferior costal margin of last rib
rehab consideration
: in supine anterior shell can be open for hygiene
Complications with halo
loosening of pins
pin site infection
discomfort at pin site
ring migration
pressure sores
nerve injury
prolonged bleeding at pin sites
puncture of dura
stable non-displaced fx mid-low L-spine
BOB
Spondylosis
BOB
post-op surgical repair of fx
custom molded TLSO
spinal deformity of T-spine and/or upper L-spine (T5-L3)
custom molded TLSO
LBP
Sagittal control LSO
lumbar sprain/strain
Sagittal control LSO
lumbar disc displacement
Sagittal control LSO
Osteoporosis
Sagittal control LSO
HNP
Sagittal control LSO
Sagittal-coronal control TLSO
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Author
jld15
ID
320763
Card Set
OandP 4
Description
OandP 4
Updated
2016-06-05T16:00:10Z
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