Pediatric Halo Application

  • Eric D. Shirley
  • Veronica Mai
Living reference work entry


A 4-year-old male with chondrodysplasia punctata developed progressive severe kyphoscoliosis. Growing spine instrumentation was required to prevent further progression and preserve growth potential. Preoperative halo traction was used to decrease the magnitude of the deformity before instrumentation. An eight-pin halo was applied under anesthesia using the safe zones of pin insertion. Four weeks of halo traction allowed for improvement of the deformity before growing rod instrumentation.

References and Suggested Reading

  1. Botte MJ, Byrne TP, Abrams RA, Garfin SR (1996) Halo skeletal fixation: techniques of application and prevention of complications. J Am Acad Orthop Surg 4(1):44–53CrossRefPubMedGoogle Scholar
  2. Mubarak SJ, Camp JF, Vuletich W, Wenger DR, Garfin SR (1989) Halo application in the infant. J Pediatr Orthop 9:612–614CrossRefPubMedGoogle Scholar
  3. Rinella A, Lenke L, Whitaker C, Kim Y, Park S, Peelle M, Edwards C, Bridwell K (2005) Perioperative Halo-Gravity traction in the treatment of severe scoliosis and kyphosis. Spine 30(4):475–482CrossRefPubMedGoogle Scholar
  4. Wong WB, Haynes RJ (1994) Osteology of the pediatric skull. Spine 19(13):1451–1454CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Pediatric Orthopaedic AssociatesMariettaUSA
  2. 2.University of North FloridaJacksonvilleUSA

Section editors and affiliations

  • Kevin M. Neal
    • 1
  1. 1.Department of Orthopaedic SurgeryNemours Children’s Speciality CareJacksonvilleUSA

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