Removal of tongs or halo applied by another individual
CPT4 code
Name of the Procedure:
Removal of Tongs or Halo Applied by Another Individual
Common Name(s): Halo removal, tong removal
Technical Term(s): Removal of cranial traction device
Summary
This procedure involves taking off a halo or tongs device that was originally applied by another medical professional. These devices are used to stabilize the head and neck, typically after a serious injury.
Purpose
This procedure is performed once the patient no longer requires the support of the halo or tongs. It helps in transitioning the patient from immobilization to more natural movement, indicating an improvement in their condition.
Indications
- Stabilized cervical spine fractures
- Following treatment for severe neck injuries
- Completion of prescribed duration for device use
Preparation
- Pre-removal imaging to confirm spine stability
- Patient consultation to discuss the procedure and aftercare
- Adjustments to medication if currently used to control pain or prevent infection
Procedure Description
- Positioning: The patient is seated comfortably with support.
- Preparation: The area around the device is cleaned and sterilized.
- Loosening Bolts: The bolts securing the halo or tongs are carefully loosened.
- Device Removal: The halo or tongs are gently removed from the head and neck.
- Post-removal Assessment: Immediate evaluation of the patient's condition is conducted.
Tools & Equipment:
- Wrench or specialized tool for loosening bolts
- Sterile pads and cleaning materials
Anesthesia or Sedation:
- Local anesthesia may be administered to minimize discomfort.
Duration
The procedure typically takes about 30 to 60 minutes.
Setting
Usually performed in a hospital, outpatient clinic, or surgical center.
Personnel
- Orthopedic or neurosurgeon
- Nurse or medical assistant
- Radiologic technician (if imaging is required)
Risks and Complications
- Infection at pin or bolt sites
- Residual pain or discomfort
- Possibility of spine instability if not adequately healed
- Minor bleeding
Benefits
- Removal of restrictive device, increasing patient comfort
- Allowing for greater range of motion
- Mark of progress in recovery
Recovery
- Observation period immediately after removal
- Instructions on gentle movements and any restrictions
- Follow-up appointments to monitor progress
- Potential physical therapy
Alternatives
- Extended use of the halo or tongs
- Transition to a less restrictive neck brace
- Surgical options if instability persists
Patient Experience
During the Procedure:
- Likely to feel pressure but minimal pain due to local anesthesia.
After the Procedure:
- May experience soreness or mild discomfort
- Should avoid strenuous activities initially
- Pain management with prescribed medication if necessary