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Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report

Study Design Case report. Objective To report and discuss a rare complication after a patient was treated conservatively with a halo vest. Methods A 51-year-old man sustained a hangman's injury of the C2 vertebra following a motor vehicle collision. He was treated conservatively in a halo vest...

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Autores principales: Menon, K. Venugopal, Al Rawi, Asif Esam, Taif, Sawsan, Al Ghafri, Khalifa, Mollahalli, Kishore Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4303484/
https://www.ncbi.nlm.nih.gov/pubmed/25648519
http://dx.doi.org/10.1055/s-0034-1384818
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author Menon, K. Venugopal
Al Rawi, Asif Esam
Taif, Sawsan
Al Ghafri, Khalifa
Mollahalli, Kishore Kumar
author_facet Menon, K. Venugopal
Al Rawi, Asif Esam
Taif, Sawsan
Al Ghafri, Khalifa
Mollahalli, Kishore Kumar
author_sort Menon, K. Venugopal
collection PubMed
description Study Design Case report. Objective To report and discuss a rare complication after a patient was treated conservatively with a halo vest. Methods A 51-year-old man sustained a hangman's injury of the C2 vertebra following a motor vehicle collision. He was treated conservatively in a halo vest appliance and following mobilization was discharged from the hospital. Two weeks after discharge, the patient presented to the emergency department complaining of proptosis, ptosis, diplopia, and pin loosening. He was readmitted to the hospital, the halo vest was removed, and urgent imaging studies including computed tomography scan and magnetic resonance imaging were performed. They revealed that one of the halo pins had penetrated the orbital roof with active infection of the extraocular soft tissues. In consultation with the ophthalmologist, he was treated conservatively with antibiotics for 10 days. Results His ophthalmologic complaints resolved gradually and his eye returned to normal appearance and function. In the meantime, he was immobilized in a sterno-occipital mandibular immobilizer brace. Conclusion Though rare, penetrating injuries after cranial pin insertion can occur. Halo devices must be applied by, or under close supervision of, experienced personnel to avoid such complications, and halo vests should be reviewed frequently to detect such incidents early.
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spelling pubmed-43034842015-03-12 Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report Menon, K. Venugopal Al Rawi, Asif Esam Taif, Sawsan Al Ghafri, Khalifa Mollahalli, Kishore Kumar Global Spine J Article Study Design Case report. Objective To report and discuss a rare complication after a patient was treated conservatively with a halo vest. Methods A 51-year-old man sustained a hangman's injury of the C2 vertebra following a motor vehicle collision. He was treated conservatively in a halo vest appliance and following mobilization was discharged from the hospital. Two weeks after discharge, the patient presented to the emergency department complaining of proptosis, ptosis, diplopia, and pin loosening. He was readmitted to the hospital, the halo vest was removed, and urgent imaging studies including computed tomography scan and magnetic resonance imaging were performed. They revealed that one of the halo pins had penetrated the orbital roof with active infection of the extraocular soft tissues. In consultation with the ophthalmologist, he was treated conservatively with antibiotics for 10 days. Results His ophthalmologic complaints resolved gradually and his eye returned to normal appearance and function. In the meantime, he was immobilized in a sterno-occipital mandibular immobilizer brace. Conclusion Though rare, penetrating injuries after cranial pin insertion can occur. Halo devices must be applied by, or under close supervision of, experienced personnel to avoid such complications, and halo vests should be reviewed frequently to detect such incidents early. Georg Thieme Verlag KG 2014-07-26 2015-02 /pmc/articles/PMC4303484/ /pubmed/25648519 http://dx.doi.org/10.1055/s-0034-1384818 Text en © Thieme Medical Publishers
spellingShingle Article
Menon, K. Venugopal
Al Rawi, Asif Esam
Taif, Sawsan
Al Ghafri, Khalifa
Mollahalli, Kishore Kumar
Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title_full Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title_fullStr Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title_full_unstemmed Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title_short Orbital Roof Fracture and Orbital Cellulitis Secondary to Halo Pin Penetration: Case Report
title_sort orbital roof fracture and orbital cellulitis secondary to halo pin penetration: case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4303484/
https://www.ncbi.nlm.nih.gov/pubmed/25648519
http://dx.doi.org/10.1055/s-0034-1384818
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