Complications of Halo Placement

Abstract

Background: The halo vest is widely used throughout the world to manage craniovertebral and cervical instabilities. It can be used for postoperative immobilization or as an alternative to surgical fixation.

Method: In this paper we present some cases of severe complications from our own practice and review the literature on halo complications.

Results: Like any therapeutic manoeuvre, halo placement may be followed by various complications. In the meantime, modern techniques of fixation offer safe and immediate stabilization.

Conclusion: The halo vest remains a formidable method for cervical immobilization. However, it should not be used a priori instead of surgery.

Keywords: Cervical fixation; Cervical immobilization; Complications; Cranio-vertebral joint; Halo vest.