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Coluna/Columna

Print version ISSN 1808-1851

Abstract

DAMASCENO, Marcelo Loquette et al. Retrospective results analysis of the use of cranial fractures halo subaxial dislocations. Coluna/Columna [online]. 2010, vol.9, n.4, pp. 376-380. ISSN 1808-1851.  http://dx.doi.org/10.1590/S1808-18512010000400006.

OBJECTIVE: to evaluate the use of cranial halo cervical fractures and dislocations in the initial care related to the rate of successful closed reduction of cervical lesions in different types of fractures. METHODS: retrospective investigation of reports of patients admitted and treated from January 2004 to March 2009, a total of 222 patients. The lesions were categorized according to the AO classification. RESULTS: a high success rate of closed reduction in patients with cervical lesions by axial compression (AO type A) in the use of cranial halo; in distraction injuries (AO type B) and rotational motion (AO type C) we observed approximately 50% of closed reduction of dislocation; furthermore, lesions in more cranial levels have a higher success rate in reducing. CONCLUSION: the use of cranial halo is encouraged because, in addition to performing a immobilizing role in the initial care, it produces satisfactory results in the attempt of closed reduction of cervical injury, improving patient's comfort, facilitating the surgical approach and subsequent care of the nursing team.

Keywords : Spinal fractures [rehabilitation]; Traction [rehabilitation]; Traction [methods]; Imobilization [instrumentation]; Cervical vertebrae [injuries].

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