Treatment of Jefferson fracture with a halo apparatus

Report of two cases

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✓ Two patients with bursting fractures of the atlas vertebra are presented. The use of a halo apparatus as an effective alternative to bedrest and cervical traction in these patients is discussed. Polytomography was helpful in establishing an accurate diagnosis.

Article Information

Address reprint requests to: Eric Zimmerman, M.D., Division of Neurosurgery, Ohio State University College of Medicine, 410 West Tenth Avenue, Columbus, Ohio 43210.

© AANS, except where prohibited by US copyright law.

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Figures

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    Case 1. Upper Left: X-ray film, lateral view, showing the posterior arch fracture of the atlas (arrow). Lower Left: Anteroposterior tomogram showing the burst fracture of the atlas with displacement of the lateral mass (arrows). Lower Right: Anteroposterior tomogram of the atlas 6 months after sustaining a burst fracture (arrows).

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    Case 2. Anteroposterior tomogram showing the lateral displacement of the right articular mass (arrows).

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    Case 2. Patient in the halo apparatus.

References

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    Ewald FC: Fracture of the odontoid process in a seventeen-month-old infant treated with a halo. J Bone Joint Surg 53A:163616401971Ewald FC: Fracture of the odontoid process in a seventeen-month-old infant treated with a halo. J Bone Joint Surg 53A:1636–1640 1971

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