Risk of Skull Perforation with Halo Vest Skull Pins.

IF 1.2 Q3 SURGERY Spine Surgery and Related Research Pub Date : 2024-03-11 eCollection Date: 2024-09-27 DOI:10.22603/ssrr.2023-0261
Hideaki Hamanaka, Takuya Tajima, Syuji Kurogi, Kiyoshi Higa, Takuya Nagai, Takumi Takahashi, Takayuki Matsumoto, Etsuo Chosa
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Abstract

Introduction: A halo vest is an immobilization device widely used to stabilize the cervical spine. Pain and infection at the skull pin insertion site are common complications, but skull perforation is rare, and most published studies are case reports. This study aimed to identify risk factors for skull perforation by comparing patients who did and did not develop perforation.

Methods: Overall thickness and the thicknesses of the internal and external laminae of the skull at the skull pin insertion sites were measured on cranial computed tomography scans of 66 patients fitted with a halo vest. The results were compared between patients who did and did not develop perforation.

Results: Four patients developed perforations. All patients with perforation were older women, and their external and internal laminae were significantly thinner than those of patients who did not develop perforation.

Conclusions: The reported causes of skull pin perforation include infection around the pin, osteoporosis, and an enlarged frontal sinus. However, most patients with perforation in the present study were older women, and the cause was the thinning of the external and external laminae.

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使用光环背心颅针有颅骨穿孔的风险。
简介光环背心是一种广泛用于稳定颈椎的固定装置。颅骨针插入部位的疼痛和感染是常见的并发症,但颅骨穿孔却很少见,已发表的大多数研究都是病例报告。本研究旨在通过比较发生和未发生穿孔的患者,找出颅骨穿孔的风险因素:方法:通过头颅计算机断层扫描测量了 66 名安装了光环背心的患者的颅骨总厚度以及颅骨针插入部位的颅骨内外层厚度。结果显示,有四名患者出现穿孔:结果:四名患者出现穿孔。所有穿孔患者均为老年女性,其外部和内部板层明显比未发生穿孔的患者薄:结论:据报道,颅骨针穿孔的原因包括针周围感染、骨质疏松症和额窦扩大。然而,本研究中的穿孔患者多为老年女性,而穿孔的原因则是内外骨板变薄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
71
审稿时长
15 weeks
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