FAILURE OF HALO VEST TO PREVENT INVIVO MOTION IN PATIENTS WITH INJURED CERVICAL SPINES

被引：42

作者：

ANDERSON, PA

BUDORICK, TE

EASTON, KB

HENLEY, MB

SALCICCIOLI, GG

机构：

[1] Department of Orthopaedic Surgery, University of Washington, Harborview Medical Center, Seattle, WA

[2] Department of Orthopaedic Surgery, Wayne State University, Hutzel Hospital, Detroit, MI

来源：

SPINE | 1991年 / 16卷 / 10期

关键词：

CERVICAL VERTEBRAE; ORTHOSIS; SPINE; ORTHOTIC DEVICES; FRACTURES; JOINT INSTABILITY; CLOSED; MOTION; FRACTURE FIXATION; RADIOGRAPHY; EXTERNAL; HUMAN;

D O I：

10.1097/00007632-199110001-00009

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Forty-two patients with cervical spine injuries immobilized in halo vests were studied prospectively to determine in vivo vertebral segmental motion. Lateral radiographs taken in the supine and upright positions within 5 days of injury demonstrated intervertebral motion. At noninjured levels, the positional change accounted for an average 3.9-degrees of angulation with the greatest motion occurring between the occiput and C1 (8.0-degrees). At the injured levels, sagittal plane angulation averaged 7.0-degrees and translation averaged 1.7 mm between the two positions. Fracture site motion did not correlate with either the fracture type or the injury level. Fracture site motion greater than 3-degrees of angulation or 1 mm of translation was observed at 35 (77%) of 45 injured levels. When treating patients who have unstable cervical injuries with halo vests, supine and upright radiographs should be obtained. If excessive motion is present, alternative methods of treatment should be considered.

引用

页码：S501 / S505

页数：5

共 21 条

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