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

Author

jld15

320763

Card Set

OandP 4

Description

OandP 4

Updated

2016-06-05T16:00:10Z

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