본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Yonsei medical journal v.51 no.5, 2010년, pp.648 - 652   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Optimal Use of the Halo-Vest Orthosis for Upper Cervical Spine Injuries

Shin, Jun Jae    (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.   ); Kim, Sang Jin    (Department of Neurosurgery, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.   ); Kim, Tae Hong    (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.   ); Shin, Hyung Shik    (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.   ); Hwang, Yong Soon    (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.   ); Park, Sang Keun    (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.  );
  • 초록

    Purpose Upper cervical fractures can heal with conservative treatments such as halo-vest immobilization (HVI) and Minerva jackets without surgery. The most rigid of these, HVI, remains the most frequently used treatment in many centers despite its relatively high frequency of orthosis-related complications. We conducted this study to investigate the clinical outcome, effectiveness, patient satisfaction, and associated complications of HVI. Materials and Methods From April 1997 to December 2008, we treated 23 patients for upper cervical spinal injuries with HVI. For analysis, we divided high cervical fractures into four groups, including C1 fracture, C2 dens fracture, C2 hangman's fracture, and C1-2 associated fracture. We evaluated the clinical outcome, complications, and patient satisfaction through chart reviews and a telephone questionnaire. Results The healing rate for upper cervical fracture using HVI was 60.9%. In most cases, bony healing occurred within 16 weeks. Older patients required longer fusion time. We observed a 39.1% failure rate, and 60.9% of patients experienced complications. The most common complications were frequent pin loosening (34.8%; 8/23) and pin site infection (17.4%; 4/23). The HVI treatment failed in 66.7% of patients with pin site problems. The patient approval rate was 31.6%. Conclusion The HVI produced frequent complications and low patient satisfaction. Bony fusion succeeded in 60.9% of patients. Pin site complications showed a tendency to influence the outcome of HVI, and would be promptly addressed to prevent treatment failure if they develop. The decision to use HVI requires an explanation to the patient of potential complications and constant vigilance to prevent such complications and unsatisfactory outcomes.


  • 주제어

    Halo-vest .   cervical trauma .   bony healing .   complication.  

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드
  • 원문이 없습니다.

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기