Reduction of Halo Pin Site Morbidity with a New Pin Care Regimen
Asian Spine Journal
;
: 91-95, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-21074
ABSTRACT
STUDY DESIGN:
A retrospective analysis of halo device associated morbidity over a 4-year period.PURPOSE:
To assess the impact of a new pin care regimen on halo pin site related morbidity. OVERVIEW OF LITERATURE Halo orthosis treatment still has a role in cervical spine pathology, despite increasing possibilities of open surgical treatment. Published figures for pin site infection range from 12% to 22% with pin loosening from 7% to 50%.METHODS:
We assessed the outcome of a new pin care regimen on morbidity associated with halo spinal orthoses, using a retrospective cohort study from 2001 to 2004. In the last two years, our pin care regimen was changed. This involved pin site care using chlorhexidene & regular torque checking as part of a standard protocol. Previously, povidone iodine was used as skin preparation in theatre, followed by regular sterile saline cleansing when pin sites became encrusted with blood.RESULTS:
There were 37 patients in the series, the median age was 49 (range, 22-83) and 20 patients were male. The overall infection rate prior to the new pin care protocol was 30% (n=6) and after the introduction, it dropped to 5.9% (n=1). This difference was statistically significant (p<0.05). Pin loosening occurred in one patient in the group prior to the formal pin care protocol (3%) and none thereafter.CONCLUSIONS:
Reduced morbidity from halo use can be achieved with a modified pin cleansing and tightening regimen.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aparelhos Ortopédicos
/
Povidona-Iodo
/
Pele
/
Traumatismos da Coluna Vertebral
/
Coluna Vertebral
/
Protocolos de Quimioterapia Combinada Antineoplásica
/
Metotrexato
/
Estudos Retrospectivos
/
Estudos de Coortes
/
Torque
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Estudo de incidência
/
Estudo observacional
/
Fatores de risco
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Asian Spine Journal
Ano de publicação:
2013
Tipo de documento:
Artigo
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