Complications of Halo Vest Orthosis: A Narrative Study
Background and Aim: Perry and Nickel introduced the halo vest in 1959. It is the most common immobilization device for the unstable cervical spine. In the literature review, most articles review the beneficial effects of the halo vest, and a few report its complications. This study aims to evaluate...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2021-07-01
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| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://irjns.org/article-1-249-en.pdf |
| _version_ | 1827899185993613312 |
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| author | Ali Babashahi Majid Rezvani Majid Vatankhah Navid Kalani Ali Kazeminezhad |
| author_facet | Ali Babashahi Majid Rezvani Majid Vatankhah Navid Kalani Ali Kazeminezhad |
| author_sort | Ali Babashahi |
| collection | DOAJ |
| description | Background and Aim: Perry and Nickel introduced the halo vest in 1959. It is the most common immobilization device for the unstable cervical spine. In the literature review, most articles review the beneficial effects of the halo vest, and a few report its complications. This study aims to evaluate the complications associated with halo orthosis.
Methods and Materials/Patients: This is a narrative study about halo vest complications. To provide up-to-date information, we reviewed the articles written about halo complications. All relevant articles were retrieved from Google Scholar, Medline, PubMed, etc., using the keywords of “halo vest orthosis”, “unstable cervical spine fracture”, “halo vest complications”, “halo vest immobilization”, “pin-site-related complications”, and “vest-related complications”. Afterward, we reviewed and critically analyzed the articles.
Results: At first, the halo vest was used for postoperative paralyzed poliomyelitis patients, and later, it was also used for traumatic injury of the cervical spine or postoperatively in cervical spine reconstructive surgery. Compared to other orthoses, the halo vest provides a more effective external fixation and maintains normal anatomic alignment of the cervical spine without impacting jaw motion and resulting in eating problems. However, it has many temporary complications. To prevent halo vest complications, experienced people should apply it, and the patients should be regularly followed up for early detection and treatment of complications.
Conclusion: Our review is the starting point for the evaluation and investigation of halo vest complications. Because of the high incidence of pin loosening and infection, it is better to evaluate the design and application of halo pin. Since the initial design of the halo vest, only its superstructure has been redesigned without any significant change in other parts of it. |
| first_indexed | 2024-03-12T23:14:33Z |
| format | Article |
| id | doaj.art-82ea137f33704f329849b1045ebd8eb7 |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-03-12T23:14:33Z |
| publishDate | 2021-07-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-82ea137f33704f329849b1045ebd8eb72023-07-17T13:34:32ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-07-0173131138Complications of Halo Vest Orthosis: A Narrative StudyAli Babashahi0Majid Rezvani1Majid Vatankhah2Navid Kalani3Ali Kazeminezhad4 Department of Neurosurgery, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran Department of Neurosurgery, School of Medicine, Neurosciences Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran Anesthesiology and Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran Anesthesiology, Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran Department of Neurosurgery, Peymanieh Hospital, Jahrom University of Medical Sciences, Shiraz, Iran Background and Aim: Perry and Nickel introduced the halo vest in 1959. It is the most common immobilization device for the unstable cervical spine. In the literature review, most articles review the beneficial effects of the halo vest, and a few report its complications. This study aims to evaluate the complications associated with halo orthosis. Methods and Materials/Patients: This is a narrative study about halo vest complications. To provide up-to-date information, we reviewed the articles written about halo complications. All relevant articles were retrieved from Google Scholar, Medline, PubMed, etc., using the keywords of “halo vest orthosis”, “unstable cervical spine fracture”, “halo vest complications”, “halo vest immobilization”, “pin-site-related complications”, and “vest-related complications”. Afterward, we reviewed and critically analyzed the articles. Results: At first, the halo vest was used for postoperative paralyzed poliomyelitis patients, and later, it was also used for traumatic injury of the cervical spine or postoperatively in cervical spine reconstructive surgery. Compared to other orthoses, the halo vest provides a more effective external fixation and maintains normal anatomic alignment of the cervical spine without impacting jaw motion and resulting in eating problems. However, it has many temporary complications. To prevent halo vest complications, experienced people should apply it, and the patients should be regularly followed up for early detection and treatment of complications. Conclusion: Our review is the starting point for the evaluation and investigation of halo vest complications. Because of the high incidence of pin loosening and infection, it is better to evaluate the design and application of halo pin. Since the initial design of the halo vest, only its superstructure has been redesigned without any significant change in other parts of it.http://irjns.org/article-1-249-en.pdfhalo vestimmobilizationfracturesspinecervical vertebrae |
| spellingShingle | Ali Babashahi Majid Rezvani Majid Vatankhah Navid Kalani Ali Kazeminezhad Complications of Halo Vest Orthosis: A Narrative Study Iranian Journal of Neurosurgery halo vest immobilization fractures spine cervical vertebrae |
| title | Complications of Halo Vest Orthosis: A Narrative Study |
| title_full | Complications of Halo Vest Orthosis: A Narrative Study |
| title_fullStr | Complications of Halo Vest Orthosis: A Narrative Study |
| title_full_unstemmed | Complications of Halo Vest Orthosis: A Narrative Study |
| title_short | Complications of Halo Vest Orthosis: A Narrative Study |
| title_sort | complications of halo vest orthosis a narrative study |
| topic | halo vest immobilization fractures spine cervical vertebrae |
| url | http://irjns.org/article-1-249-en.pdf |
| work_keys_str_mv | AT alibabashahi complicationsofhalovestorthosisanarrativestudy AT majidrezvani complicationsofhalovestorthosisanarrativestudy AT majidvatankhah complicationsofhalovestorthosisanarrativestudy AT navidkalani complicationsofhalovestorthosisanarrativestudy AT alikazeminezhad complicationsofhalovestorthosisanarrativestudy |