Parry H, Delargy M, Burt A
Yorkshire Regional Spinal Injuries Centre, Pinderfields General Hospital, Wakefield, West Yorkshire, UK.
Paraplegia. 1988 Aug;26(4):226-32. doi: 10.1038/sc.1988.35.
The halo brace device for cervical spine stabilisation has been in use predominantly in North America since 1959. It has not yet found widespread use for the management of the spinal cord injured in the UK. At the Yorkshire Regional Spinal Injuries Unit we have used the device over 2 years on 20 patients with complete and incomplete traumatic cervical spinal cord injuries, and compared our results with those for the previous 20 patients with similar injuries treated with skull calipers and bed rest. Patients using a halo brace device begin more active rehabilitation earlier as they are mobilised on average 5 weeks earlier than those whose traction is administered via skull calipers. Halo brace patients begin weekend leave usually within 7 weeks of their injury compared to 14 weeks post-injury for caliper treated patients and were discharged on average 2 months earlier than the comparison group. We believe that earlier mobilisation, weekend leave and discharge for halo brace patients in the absence of any neurological deterioration afford significant physical, psychological and management benefits.
自1959年以来，用于颈椎稳定的头环固定装置主要在北美使用。在英国，它尚未广泛用于脊髓损伤的治疗。在约克郡地区脊髓损伤病房，我们在2年多的时间里对20例完全性和不完全性创伤性颈脊髓损伤患者使用了该装置，并将我们的结果与前20例接受颅骨牵引钳和卧床休息治疗的类似损伤患者的结果进行了比较。使用头环固定装置的患者更早开始更积极的康复治疗，因为他们平均比通过颅骨牵引钳进行牵引的患者提前5周开始活动。头环固定装置患者通常在受伤后7周内开始周末休假，而使用牵引钳治疗的患者在受伤后14周开始，并且头环固定装置患者比对照组平均提前2个月出院。我们认为，在没有任何神经功能恶化的情况下，头环固定装置患者更早的活动、周末休假和出院带来了显著的身体、心理和管理方面的益处。
