Complications of Halo Placement

  • Giuseppe Talamonti
  • Alberto Debernardi
  • Massimiliano Visocchi
  • Fabio Villa
  • Giuseppe D’Aliberti
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 125)


Background: The halo vest is widely used throughout the world to manage craniovertebral and cervical instabilities. It can be used for postoperative immobilization or as an alternative to surgical fixation.

Method: In this paper we present some cases of severe complications from our own practice and review the literature on halo complications.

Results: Like any therapeutic manoeuvre, halo placement may be followed by various complications. In the meantime, modern techniques of fixation offer safe and immediate stabilization.

Conclusion: The halo vest remains a formidable method for cervical immobilization. However, it should not be used a priori instead of surgery.


Cervical fixation Cervical immobilization Complications Cranio-vertebral joint Halo vest 


Competing Interests

The authors declare that they have no competing interests.

Compliance with Ethical Standards

No financial support was received for this work.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Giuseppe Talamonti
    • 1
    • 2
  • Alberto Debernardi
    • 1
    • 2
  • Massimiliano Visocchi
    • 1
    • 2
  • Fabio Villa
    • 1
    • 2
  • Giuseppe D’Aliberti
    • 1
    • 2
  1. 1.Department of NeurosurgeryAO Niguarda Ca’Granda HospitalMilanItaly
  2. 2.Institute of Neurosurgery, Catholic UniversityRomeItaly

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