Head cervical-Thoracic orthosis (HCTO)

Head cervical-Thoracic orthosis (HCTO) E.g. Halo orthosis, Yale brace, SOMI (Sterna occipital mandibular immobilizater), four posture brace

Principle:

1. -          Paralysis with or without fracture of the cervical spine.
2. -          Cervical vertebral fracture with dislocation.
3. -          Ease of application.
4. -          A low complication rate, minimal patient discomfort and early patient mobilization.
5. -          The SOMI is relatively comfortable to wear.
6. -          Precise positional control and solid external stabilization of the cervical spine.

Indication:

1. -          For traumatic or chronic disorders requiring immo
   bilization of the cervical spine.
2. -          Cervical spine trauma or post surgery.
3. -          The Yale orthosis is recommended for postsurgical protection of the middle and lower cervical spine and in select situation of spinal instability.
4. -          Neural arch fractures of  because flexion causes instability.