The Journal of Bone and Joint Surgery, Vol 70, Issue 9 1338-1340, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Subdural abscess associated with halo-pin traction
SR Garfin, MJ Botte, KJ Triggs and VL Nickel
University of California, San Diego Medical Center.
Osteomyelitis and intracranial abscess are among the most serious
complications that have been reported in association with the use of the
halo device. The cases of five patients who had formation of an
intracranial abscess related to the use of a halo cervical immobilizer are
described. All of the infections resolved after drainage of the abscess,
debridement, and parenteral administration of antibiotics. Meticulous care
of the pin sites is essential to avoid this serious complication.
Additionally, since all of the infections were associated with prolonged
halo-skeletal traction, this technique should be used with caution and with
an awareness of the possible increased risks of pin-site infection and of
formation of a subdural abscess.