Halo vest immobilization - an institutional review of safety in acute cervical spine injury from 2013 to 2017
| Autor: | Gazanfar Rahmathulla, Kyle W. Scott, Kourosh Tavanaiepour, Marie Crandall, Dunbar Alcindor, Samuel L. Malnik, Daryoush Tavanaiepour, M. Zino Kuhn |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Cervical spine injury Neck Injuries Injury Severity Score medicine Humans Fixation (histology) Retrospective Studies business.industry Trauma center Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Pneumonia Spinal Injuries Cohort Cervical Vertebrae Spinal Fractures Neurology (clinical) Complication business |
| Zdroj: | British journal of neurosurgery. 35(5) |
| ISSN: | 1360-046X |
| Popis: | Objective: Halo vest immobilization (HVI) remains an important treatment option for occipital-cervical injuries. It provides the surgeon with a safe and effective medical treatment options for challenging patients. The aim of this study was to evaluate the safety of HVI in these patients.Methods: This retrospective study identified adult patients treated with Halo vests immobilization (HVI) for acute cervical spine injury at our metropolitan level 1 trauma center from 2013 to 2017. This heterogenous cohort included 67 consecutive patients with acute cervical spine injury secondary to trauma or iatrogenic injury following surgical intervention with a mean age of 52 and a mean injury severity score (ISS) of 18. Forty-six percent of patients were treated with HVI as an adjunct therapy to surgical fixation (both short- and long-term immobilization), 45% of patients were treated with HVI as a primary medical treatment, and 9% of patients were treated with HVI instead of failed conservative medical treatment, such as cervical braces. Results: Pneumonia during the initial hospital stay was the most common complication (25%), followed by the correction of loose pins (22%) and pin site infections (18%). Overall, 51% of patients experienced at least one of these complications. There were significant associations between low initial GCS scores and the development of pneumonia (p |
| Databáze: | OpenAIRE |
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