Pediatric axis fractures: Early halo immobilization, management and outcome

M. Mandabach, J. R. Ruge*, Y. S. Hahn, David G McLone

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Pediatric C-2 fractures have been managed with initial cranial skeletal tong traction or a period of bed rest for reduction and alignment followed by external and/or surgical stabilization. Thirteen children were managed with early halo orthosis to provide the initial reduction/alignment and to accomplish long-term stabilization. Eighty percent had fusion with the halo alone, and 20% went on to fuse after surgery. The average hospitalization for isolated C-2 injury was 10.6 days. Minor complications occurred in 46% of the patients. The literature is reviewed as to the management and outcome of pediatric axis fractures.

Original languageEnglish (US)
Pages (from-to)225-232
Number of pages8
JournalPediatric Neurosurgery
Issue number5
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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