Mubarak S J, Camp J F, Vuletich W, Wenger D R, Garfin S R
Orthopedic Research Division, Children's Hospital, San Diego, California.
J Pediatr Orthop. 1989 Sep-Oct;9(5):612-4. doi: 10.1097/01241398-198909010-00021.
The technique for halo application in very young children is described, with case presentations of three children aged less than 2 years who underwent successful cervical fusion with halo immobilization. Our multiple pin technique for very small children diverges significantly from previously accepted recommendations. With multiple pins, significantly less torque is required to provide stability, allowing a greater range of pin placement sites in areas where the infant skull might otherwise be considered too thin. This technique of halo application provides a safe and effective method of cervical immobilization for infants.
描述了在非常年幼的儿童中应用头环的技术，并介绍了三名年龄小于2岁的儿童成功接受颈椎融合并使用头环固定的病例。我们针对非常小的儿童的多针技术与先前公认的建议有很大不同。使用多根针时，提供稳定性所需的扭矩明显更小，从而在婴儿颅骨原本可能被认为过薄的区域允许更大范围的针放置位置。这种头环应用技术为婴儿提供了一种安全有效的颈椎固定方法。
