title: Dual-strap augmentation of a halo orthosis in the treatment of atlantooccipital dislocation in infants and young children. Technical note.
abstract: Two children who were 13 months and 3 years old and who had suffered traumatic atlantooccipital dislocation were each treated by being placed in a halo orthosis for 10 weeks. Because of a continued loss of reduction due to the poor fit of the halo vest, a dual-strap augmentation was developed. This strap augmentation allowed consistent reduction to be maintained. Both children were therefore successfully treated nonsurgically with a halo vest. One child remained neurologically intact and the other had improvement in motor strength. There were no complications from the use of strap augmentation for halo vest fixation.
authors: Department of Neurosurgery, Cleveland Clinic Foundation, Ohio 44195, USA. steinmm@ccf.org
authors: Michael P
authors: MP
authors: Steinmetz
authors: Meg
authors: M
authors: Verrees
authors: James S
authors: JS
authors: Anderson
authors: Roseanna M
authors: RM
authors: Lechner
mesh_terms: D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D002675:Child, Preschool; D004867:Equipment Design; D006801:Humans; D007223:Infant; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D009989:Orthotic Devices; D011859:Radiography; D016896:Treatment Outcome