BibTex RIS Kaynak Göster

Halo Vest treatment of upper cervical vertebral fracture

Yıl 2013, , 171 - 174, 01.06.2013
https://doi.org/10.5799/ahinjs.01.2013.02.0259

Öz

Objective: In this study we aimed to investigate the ef­ficacy, long term result and associated complications of Halo Vest treatment for patients with upper cervical spine fractures. Methods: This study included 13 patients (11 men and 2 women) who applied Halo Vest treatment for traumatic upper cervical vertebral fracture between 2006 and 2011. We reviewed the radiological and clinical findings of pa­tients before and after the treatment. Results: Six of 13 patients had odontoid type 3 fracture, 2 patients had odontoid type 2 fracture with C1 type 1 fracture, 2 patients had odontoid type 2 fracture with Jef­ferson fracture, one patient had type 2 hangman fracture and two patients had unclassified C2 corpus fractures. The mean follow-up time with Halo Vest was 14 weeks (10-21 weeks). Ten patients had bone fusion and the mean time of bone fusion was 12 weeks. Conclusions: Halo Vest treatment for upper cervical spine fracture is a safe and effective method but the pa­tients comfort and satisfaction are low. J Clin Exp Invest 2013; 4 (2): 171-174

Kaynakça

  • Shin JJ, Kim SJ, Kim TH, et al. Optimal use of the halo- vest orthosis for upper cervical spine injuries. Yonsei Med J 2010;51:648-652.
  • Longo UG, Denaro L, Campi S, et al. Upper cervical spine injuries: indications and limits of the conserva- tive management in Halo vest. A systematic review of efficacy and safety. Injury 2010;41:1127-1135.
  • likasyonlar; çivi gevşemesi ve yer değiştirmesi, çivi
  • yerinde enfeksiyon ve penetresyon,, Halo Vest’in
  • Dickman CA, Hadley MN, Browner C, Sonntag VK. Neurosurgical management of acute atlas-axis com- bination fractures. A review of 25 cases. J Neurosur- gery 1989;70:45-49.
  • Perry J, Nickel VL. Total cervical fusion for neck paraly- sis. J Bone Joint Surg 1959;41:37-60.
  • Lauweryns P. Role of conservative treatment of cervi- cal spine injuries. Eur Spine J 2010;19 (Suppl 1):523- 526.
  • Glaser JA, Whitehill R, Stamp WG, Jane JA. Complica- tions associated with the halo-vest. A review of 245 cases. J Neurosurg 1986;65:762-769.
  • Guiot B, Fessler RG. Complex atlantoaxial fractures. J Neurosurg 1999;91:139-143.
  • Kim DH, Vaccaro AR, Affonso J, et al. Early predictive value of supine and upright X-ray films of odontoid fractures treated with halo-vest immobilization. Spine J 2008;8:612-618.
  • Ochoa G. Surgical management of odontoid fractures. Injury 2005;36 Suppl 2:B54-64.
  • Rockswold GL, Bergman TA, Ford SE. Halo immo- bilization and surgical fusion: relative indications and effectiveness in the treatment of 140 cervical spine injuries. J Trauma 1990;30:893-898.
  • Majercik S, Tashjian RZ, Biffl WL, et al. Halo vest im- mobilization in the elderly: a death sentence? J Trau- ma 2005;59:350-356.
  • Vieweg U, Schultheiss R. A review of halo vest treat- ment of upper cervical spine injuries. Arch Orthop Trauma Surg 2001;121:50-55.
  • Garfin SR, Botte MJ, Waters RL, Nickel VL. Compli- cations in the use of the halo fixation device. J Bone Joint Surg Am 1986;68:320-325.
  • Lind B, Sihlbom H, Nordwall A. Halo-vest treatment of unstable traumatic cervical spine injuries. Spine (Phila Pa 1976) 1988;13:425-432.
  • Nickel VL, Perry J, Garrett A, Heppenstall M. The halo. A spinal skeletal traction fixation device. J Bone Joint Surg Am 1968;50:1400-1409.
  • Houtkin S, Levine DB. The halo yoke: a simplified de- vice for attachment of the halo to a body cast. J Bone Joint Surg Am 1972;54:881-883.
  • Bransford RJ, Stevens DW, Uyeji S, et al. Halo Vest treatment of cervical spine injuries. Spine 2009;34:1561-1566.
  • Dormans JP, Criscitiello AA, Davidson RS. Complica
  • tions in children managed with immobilization in a Halo
  • Vest. J Bone Joint Surg 1995;77-A:1370-1373.

Üst servikal vertebra fraktürlerinde Halo Vest uygulaması

Yıl 2013, , 171 - 174, 01.06.2013
https://doi.org/10.5799/ahinjs.01.2013.02.0259

Öz

Amaç: Bu çalışmada üst servikal vertebra fraktürü nede­niyle cerrahi uygulanmayan hastalarda Halo Vest uygu­lamasının etkinliğini, uzun dönem sonuçlarını, eşlik eden komplikasyonlarını ve hasta memnuniyetini araştırdık. Yöntemler: 2006-2011 yılları arasında travma sonrası üst servikal vertebra fraktürü nedeniyle kliniğimizde Halo Vest uygulanan 11\'i erkek 2\'si bayan toplam 13 hasta ça­lışmaya alınmıştır. Hastaların işlem öncesi ve sonrası kli­nik ve radyoljik bulguları da analiz edilmiştir. Bulgular: Halo Vest uygulanan 13 hastanın 6 tanesinde izole odontoid Tip 3 kırığı, 2 tanesinde odontoid Tip 2 ve C1 Tip 1 kırığı, 2 tanesinde odontoid Tip 2 ve Jefferson kırığı, 1 tanesinde Tip 2 asılmış adam kırığı ve 2 tane­sinde de sınıflandırılamayan C2 korpus kırığı mevcuttu. Hastalar Halo Vest immobilizasyon ile ortalama 14 hafta (10-21 hafta) takip edilmiştir. 10 hastada füzyon gelişmiş olup ortalama süre 12 haftaydı. Sonuç: Üst servikal vertebra fraktürlerinde Halo Vest uy­gulaması güvenilir ve etkili bir tedavi yöntemi olmakla bir­likte, hasta konforu ve memnuniyeti düşüktür.

Kaynakça

  • Shin JJ, Kim SJ, Kim TH, et al. Optimal use of the halo- vest orthosis for upper cervical spine injuries. Yonsei Med J 2010;51:648-652.
  • Longo UG, Denaro L, Campi S, et al. Upper cervical spine injuries: indications and limits of the conserva- tive management in Halo vest. A systematic review of efficacy and safety. Injury 2010;41:1127-1135.
  • likasyonlar; çivi gevşemesi ve yer değiştirmesi, çivi
  • yerinde enfeksiyon ve penetresyon,, Halo Vest’in
  • Dickman CA, Hadley MN, Browner C, Sonntag VK. Neurosurgical management of acute atlas-axis com- bination fractures. A review of 25 cases. J Neurosur- gery 1989;70:45-49.
  • Perry J, Nickel VL. Total cervical fusion for neck paraly- sis. J Bone Joint Surg 1959;41:37-60.
  • Lauweryns P. Role of conservative treatment of cervi- cal spine injuries. Eur Spine J 2010;19 (Suppl 1):523- 526.
  • Glaser JA, Whitehill R, Stamp WG, Jane JA. Complica- tions associated with the halo-vest. A review of 245 cases. J Neurosurg 1986;65:762-769.
  • Guiot B, Fessler RG. Complex atlantoaxial fractures. J Neurosurg 1999;91:139-143.
  • Kim DH, Vaccaro AR, Affonso J, et al. Early predictive value of supine and upright X-ray films of odontoid fractures treated with halo-vest immobilization. Spine J 2008;8:612-618.
  • Ochoa G. Surgical management of odontoid fractures. Injury 2005;36 Suppl 2:B54-64.
  • Rockswold GL, Bergman TA, Ford SE. Halo immo- bilization and surgical fusion: relative indications and effectiveness in the treatment of 140 cervical spine injuries. J Trauma 1990;30:893-898.
  • Majercik S, Tashjian RZ, Biffl WL, et al. Halo vest im- mobilization in the elderly: a death sentence? J Trau- ma 2005;59:350-356.
  • Vieweg U, Schultheiss R. A review of halo vest treat- ment of upper cervical spine injuries. Arch Orthop Trauma Surg 2001;121:50-55.
  • Garfin SR, Botte MJ, Waters RL, Nickel VL. Compli- cations in the use of the halo fixation device. J Bone Joint Surg Am 1986;68:320-325.
  • Lind B, Sihlbom H, Nordwall A. Halo-vest treatment of unstable traumatic cervical spine injuries. Spine (Phila Pa 1976) 1988;13:425-432.
  • Nickel VL, Perry J, Garrett A, Heppenstall M. The halo. A spinal skeletal traction fixation device. J Bone Joint Surg Am 1968;50:1400-1409.
  • Houtkin S, Levine DB. The halo yoke: a simplified de- vice for attachment of the halo to a body cast. J Bone Joint Surg Am 1972;54:881-883.
  • Bransford RJ, Stevens DW, Uyeji S, et al. Halo Vest treatment of cervical spine injuries. Spine 2009;34:1561-1566.
  • Dormans JP, Criscitiello AA, Davidson RS. Complica
  • tions in children managed with immobilization in a Halo
  • Vest. J Bone Joint Surg 1995;77-A:1370-1373.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Yazısı
Yazarlar

Ergün Karavelioğlu Bu kişi benim

Adem Aslan Bu kişi benim

Olcay Eser Bu kişi benim

İhsan Canbek Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2013
Yayımlandığı Sayı Yıl 2013

Kaynak Göster

APA Karavelioğlu, E., Aslan, A., Eser, O., Canbek, İ. (2013). Üst servikal vertebra fraktürlerinde Halo Vest uygulaması. Journal of Clinical and Experimental Investigations, 4(2), 171-174. https://doi.org/10.5799/ahinjs.01.2013.02.0259
AMA Karavelioğlu E, Aslan A, Eser O, Canbek İ. Üst servikal vertebra fraktürlerinde Halo Vest uygulaması. J Clin Exp Invest. Haziran 2013;4(2):171-174. doi:10.5799/ahinjs.01.2013.02.0259
Chicago Karavelioğlu, Ergün, Adem Aslan, Olcay Eser, ve İhsan Canbek. “Üst Servikal Vertebra fraktürlerinde Halo Vest Uygulaması”. Journal of Clinical and Experimental Investigations 4, sy. 2 (Haziran 2013): 171-74. https://doi.org/10.5799/ahinjs.01.2013.02.0259.
EndNote Karavelioğlu E, Aslan A, Eser O, Canbek İ (01 Haziran 2013) Üst servikal vertebra fraktürlerinde Halo Vest uygulaması. Journal of Clinical and Experimental Investigations 4 2 171–174.
IEEE E. Karavelioğlu, A. Aslan, O. Eser, ve İ. Canbek, “Üst servikal vertebra fraktürlerinde Halo Vest uygulaması”, J Clin Exp Invest, c. 4, sy. 2, ss. 171–174, 2013, doi: 10.5799/ahinjs.01.2013.02.0259.
ISNAD Karavelioğlu, Ergün vd. “Üst Servikal Vertebra fraktürlerinde Halo Vest Uygulaması”. Journal of Clinical and Experimental Investigations 4/2 (Haziran 2013), 171-174. https://doi.org/10.5799/ahinjs.01.2013.02.0259.
JAMA Karavelioğlu E, Aslan A, Eser O, Canbek İ. Üst servikal vertebra fraktürlerinde Halo Vest uygulaması. J Clin Exp Invest. 2013;4:171–174.
MLA Karavelioğlu, Ergün vd. “Üst Servikal Vertebra fraktürlerinde Halo Vest Uygulaması”. Journal of Clinical and Experimental Investigations, c. 4, sy. 2, 2013, ss. 171-4, doi:10.5799/ahinjs.01.2013.02.0259.
Vancouver Karavelioğlu E, Aslan A, Eser O, Canbek İ. Üst servikal vertebra fraktürlerinde Halo Vest uygulaması. J Clin Exp Invest. 2013;4(2):171-4.