{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T22:08:23Z","timestamp":1759529303684},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1983,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors report 188 patients with acute cervical spine injury with fracture who underwent Halothoracic brace immobilization. The majority of the fractures were considered unstable. Early neurological assessment revealed 24 patients without neurological deficit. There were 164 patients with associated cervical cord injury; 84 patients with incomplete, and 80 patients with complete tetraplegia. Management consisted of skull traction and application of the Halo-thoracic brace about 1.3 weeks after admission. The average radiological union time was 11.5 weeks following a mean of 10.2 weeks of immobilization in a Halo apparatus. Satisfactory restoration of bone and ligament stability, with no significant posttreatment neck pain, was obtained in 168 cases (89%). This is comparable to the fusion rate achieved for cervical fractures in the literature. The follow-up periods range from 1 month to 6 years, with a mean of 10.8 months. The management and results in 73 patients with unilaterally and bilaterally locked facets with or without fractures are discussed. Complete tetraplegia is not considered a contraindication to Halo apparatus immobilization. The multiple factors responsible for overcoming the barrier of anesthetic skin are elucidated. Use of the Halo apparatus offers early mobilization and rehabilitation without neurological deterioration. Complications are few and insignificant.<\/jats:p>","DOI":"10.3171\/jns.1983.58.4.0508","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T18:23:41Z","timestamp":1241807021000},"page":"508-515","source":"Crossref","is-referenced-by-count":53,"title":["Halo-thoracic brace immobilization in 188 patients with acute cervical spine injuries"],"prefix":"10.3171","volume":"58","author":[{"given":"Richard C.","family":"Chan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph F.","family":"Schweigel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gordon B.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"85","DOI":"10.3171\/jns.1978.48.1.0085","article-title":"Acute fractures of the odontoid process. An analysis of 45 cases.","volume":"48","author":"Apuzzo","year":"1978"},{"key":"b2","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"565","DOI":"10.2106\/00004623-196042040-00001","article-title":"Stabilization of the cervical spine by anterior fusion.","volume":"42","author":"Bailey","year":"1960"},{"key":"b3","series-title":"Paraplegia","first-page":"191","article-title":"Stability of the cervical spine after conservative treatment.","volume":"13","author":"Burke","year":"1975"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"201","DOI":"10.3171\/jns.1961.18.2.0201","article-title":"Treatment of acute fractures and fracture-dislocations of the cervical spine by vertebral-body fusion. 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Indications and results.","volume":"50","author":"Cooper","year":"1979"},{"key":"b6","series-title":"Paraplegia","first-page":"203","article-title":"Stability following fracture-dislocations of the cervical spine.","volume":"13","author":"del Sel","year":"1975"},{"key":"b7","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1227\/00006123-198112000-00004","article-title":"Odontoid fracture: management with early mobilization using the halo device.","volume":"9","author":"Ekong","year":"1981"},{"key":"b8","series-title":"Paraplegia","first-page":"179","article-title":"The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Part I.","volume":"7","author":"Frankel","year":"1969"},{"key":"b9","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"1534","DOI":"10.2106\/00004623-197052080-00002","article-title":"Fractures, dislocations, and fracture-dislocations of the spine.","volume":"52","author":"Holdsworth","year":"1970"},{"key":"b10","series-title":"Spine","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1097\/00007632-197806000-00002","article-title":"The halo vest. An evaluation of motion and forces across the neck.","volume":"3","author":"Koch","year":"1978"},{"key":"b11","series-title":"III Med J","first-page":"458","article-title":"Experience with the halo and body cast in the ambulatory treatment of cervical spine fracture.","volume":"146","author":"Lyddon","year":"1974"},{"key":"b12","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"773","DOI":"10.3171\/jns.1972.36.6.0773","article-title":"Treatment of fractures of the atlas and axis by wiring without fusion.","volume":"36","author":"McLaurin","year":"1972"},{"key":"b13","series-title":"Proc Veterans Adm Spinal Cord Inj Conf","first-page":"215","article-title":"Neurologic terminology, prognosis and classification of paraplegia and tetraplegia.","volume":"17","author":"Michaelis","year":"1969"},{"key":"b14","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"37","DOI":"10.2106\/00004623-195941010-00006","article-title":"Total cervical spine fusion for neck paralysis.","volume":"41","author":"Perry","year":"1959"},{"key":"b15","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1001\/jama.1973.03220180017004","article-title":"The injured cervical spine. 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