A pinless halo system for children has been developed by Max Lerman, CO, and Larry Lerman, CO with the goal of providing cervical spine immobilization and control similar to a standard halo, but in a less invasive manner. The Lerman Noninvasive Pediatric HALO System is available in two MRI compatible, fully adjustable sizes. The head is held in place with pads on the forehead and occiput. The system includes two back post options: semi-rigid and rigid. The semi-rigid back post option is designed for patients with congenital muscular torticollis. The rigid back post option should be considered when additional restriction of cervical spine movement is required.
Torticollis is a condition where the head is rotated and drawn to one side due to shortening of muscles of the neck. Congenital torticollis is due to unilateral fibrosis in the sternocleidomastoid muscle present at the time of birth, resulting in a swelling that leads to shortening of the muscle. Clinical management involves surgical release and reattachment of the muscle and application of orthotic support. The orthosis functions to support the head after surgery then slowly adjusts into the proper position.