Dual-strap augmentation of a halo orthosis in the treatment of atlantooccipital dislocation in infants and young children. Technical note.
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.
Steinmetz
Michael P
MP
Department of Neurosurgery, Cleveland Clinic Foundation, Ohio 44195, USA. steinmm@ccf.org
Verrees
Meg
M
Anderson
James S
JS
Lechner
Roseanna M
RM
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