Goldstein R, Deen H G, Zimmerman R S, Lyons M K
Hanger Orthopedic Group, Scottsdale, Arizona.
Surg Neurol. 1995 Nov;44(5):476-8. doi: 10.1016/0090-3019(95)00205-7.
In patients with unstable cervical spine injuries initially managed with in-line traction, there is some risk of loss of cervical alignment and of new neurologic deficit when the halo vest is applied. This report outlines a simple technique which facilitates halo application in these patients.
The back of the halo vest is "prepositioned" before traction is instituted. Once alignment is optimized, halo vest application is easily completed without lifting the patient or discontinuing cervical traction.
The authors have used this technique in four patients without complication.
In patients with unstable cervical spine injuries who require an initial period of in-line traction, halo vest application is made easier and safer by "prepositioning" the back of the vest.
在最初采用轴向牵引治疗的颈椎不稳定损伤患者中，应用头环背心时存在颈椎对线丢失和出现新的神经功能缺损的风险。本报告概述了一种便于在这些患者中应用头环的简单技术。
在开始牵引前对头环背心的背部进行“预定位”。一旦对线优化，无需抬起患者或中断颈椎牵引即可轻松完成头环背心的应用。
作者已将该技术用于4例患者，无并发症发生。
对于需要初始阶段轴向牵引的颈椎不稳定损伤患者，通过对头环背心背部进行“预定位”，可使头环背心的应用更简便、安全。
