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Atlanto-Occipital Injuries in Three Children Treated with Halo Immobilization

By Parent-Weiss, Nicole M., CO, OTR, FAAOP; Weiss, David B., MD; Farley, Frances A., MD; Journal of Prosthetics & Orthotics, Vol. 19, No. 1, pp. 22-28
Publication Date: January 2007

Article presents 3 cases of young children who sustained atlanto-occipital injuries (AOIs) in which halo immobilization was applied with successful clinical outcomes. AOIs are severe injuries treated with methods similar to those used for treating atlanto-occipital dislocations (AODs), defined as separation of the joint between the occiput and the first cervical vertebrae. Children are twice as likely to sustain AODs. Treatment recommendations include conservative management with halo immobilization only and internal fixation with postoperative halo immobilization. The cases illustrate the challenges orthotists face in customizing and appropriately fitting a small child with a halo.
Published by: Lippincott, Williams, & Wilkins   (Website:http://www.lww.com)

This publication is included in the library of the National Rehabilitation Information Center (NARIC), accession number J52245
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