Complications of cervical halo-vest orthoses in elderly patients.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 19292320.
- Also identified by DOI 10.3928/01477447-20080501-35.
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Abstract
Halo-vest orthoses have been associated with complications. Previous reports have suggested increased complications in elderly patients; however, data are limited. This study reviewed 75 patients =/>65 years with cervical spine fractures treated with halo-vest orthoses. Forty-one patients (55%) experienced at least 1 complication. Pin-site problems were the most frequent adverse outcome. Seventeen patients (23%) had significant pulmonary compromise. Pulmonary complications were associated with high morbidity. We found an 8% early mortality rate. Halo-vest orthoses are useful devises. However, adverse events experienced by elderly patients are common and may lead to significant morbidity and mortality.
Medical subject headings
- Cervical Vertebrae
- Orthotic Devices
- Pneumonia, Aspiration
- Prosthesis-Related Infections
- Restraint, Physical
- Spinal Fractures
Anatomy
- cervical spine