Abstract
Study design:
Case report.
Objective:
To report a rare complication following halo placement for cervical fracture.
Setting:
United States University Teaching Hospital.
Case report:
A 39-year-old woman who sustained a spinal cord injury from a C6–7 fracture underwent halo placement. She subsequently developed an infection adjacent to the right posterior pin, which then became infected with Diptera larvae (maggots), necessitating removal of the pin and debridement of the wound site.
Conclusion:
Halo orthosis continues to be an effective means of immobilizing the cervical spine. Incidence of complications ranges from 6.4 to 36.0% of cases. Commonly reported complications include pin-site infection, pin penetration, pin loosening, pressure sores, nerve injury, bleeding, and head ring migration. Pin-site myiasis is rare, with no known reports found in the literature. Poor pin-site care by the patient and her failure to keep follow-up appointments after development of the initial infection likely contributed to the development of this complication.
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References
Perry J, Nickel VL . Total cervical spine fusion for neck paralysis. J Bone Joint Surg Am 1959; 41: 37.
Baum JA, Hanley EN, Pullekines J . Comparison of halo complication in adults and children. Spine 1989; 14: 251–252.
Garfin SR, Botte MJ, Waters RL, Nickel VL . Complications in the use of the halo fixation device. J Bone Joint Surg Am 1986; 68: 320–325.
Nickel VL, Perry J, Garrett A, Heppenstall M . The halo. A spinal skeletal traction fixation device. J Bone Joint Surg Am 1968; 50: 1400–1409.
Papagelopoulos PJ, Sapkas GS, Kateros KT, Papadakis SA, Vlamis JA, Falagas ME . Halo pin intracranial penetration and epidural abscess in a patient with a previous cranioplasty: case report and review of the literature. Spine 2001; 26: E463–E467.
Celli P, Palatinsky E . Brain abscess as a complication of cranial traction. Surg Neurol 1985; 23: 594–596.
Garfin SR, Botte MJ, Triggs KJ, Nickel VL . Subdural abscess associated with halo-pin traction. J Bone Joint Surg Am 1988; 70: 1338–1340.
Goodman ML, Nelson PB . Brain abscess complicating the use of a halo orthosis. Neurosurgery 1987; 20: 27–30.
Humbyrd DE, Latimer FR, Lonstein JE, Samberg LC . Brain abscess as a complication of halo traction. Spine 1981; 6: 365–368.
Victor DI, Bresnan MJ, Keller RB . Brain abscess complicating the use of halo traction. J Bone Joint Surg Am 1973; 55: 635–639.
Chan RC, Schweigel JF, Thompson GB . Halo-thoracic brace immobilization in 188 patients with acute cervical spine injuries. J Neurosurg 1983; 58: 508–515.
Glaser JA, Whitehill R, Stamp WG, Jane JA . Complications associated with the halo-vest. A review of 245 cases. J Neurosurg 1986; 65: 762–769.
Vertullo CJ, Duke PF, Askin GN . Pin-site complications of the halo thoracic brace with routine pin re-tightening. Spine 1997; 22: 2514–2516.
Konkol KA, Longfield RN, Powers NR, Mehr Z . Wound myiasis caused by Cochliomyia hominivorax. Clin Infect Dis 1992; 14: 366.
Sherman RA . Wound myiasis in urban and suburban United States. Arch Intern Med 2000; 160: 2004–2014.
Kpea N, Zywocinski C . ‘Flies in the flesh’: a case report and review of cutaneous myiasis. Cutis 1995; 55: 47–48.
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Park, P., Lodhia, K., Eden, S. et al. Pin-site myiasis: a rare complication of halo orthosis. Spinal Cord 43, 684–686 (2005). https://doi.org/10.1038/sj.sc.3101773
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DOI: https://doi.org/10.1038/sj.sc.3101773
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Pine-site myiasis: a rare complication of halo orthosis
Spinal Cord (2007)
