Lerman Non-Invasive Halo

July 28, 2017


Trulife has been designing and creating world class medical devices since 1958.  Recently Trulife updated the Lerman Non-Invasive Halo, an orthotic device specially designed to address and overcome the complications that can occur when using conventional Invasive Halo.

Traditional halo devices first started being used in 1959 and for a considerable amount of time were thought of as the best device for the external stabilisation needed to manage spinal injuries such as internal decapitation.

However, conventional halo devices are frequently related to several long-standing issues that are caused by the pins which are a fundamental part of these systems. Problems may include pressure ulcers, patient discomfort, scaring around the pin sites and there is an increased risk of infection due to pins becoming loose.

Trulife set out to develop a product that would be able to provide the same level of support and protection but without the issues caused by existing devices. Our aim was to create a product that would allow the patient to heal with a superior quality of life and happily the Lerman NIH achieves just that.

Learn more about Lerman NIH…….

Trulife’s Lerman Non-Invasive Halo

Trulife has redeveloped a pin-less orthotic device that delivers secure cervical spine stabilization. Since there are no invasive pins in the design the patient has a much better experience when wearing the system.

Research studies have revealed (further details later) that traditional invasive halo systems fail to immobilise the unstable cervical spine as much as originally believed.

There are a several complications that can occur with conventional Invasive Halo including:

orthotics lerman non invasive halo trulife

Trulife’s Lerman Non-Invasive Halo matches the level of support provided by conventional halo but takes away many of the complications. Research has found there is far more patient compliance and tolerance with NIH.

The Lerman Non-Invasive Halo consists of:trulife orthotics lerman non invasive halo


The Trulife team has designed the Non-Invasive Halo to include colour coded buckles to facilitate easy application. This makes it is far less complex to fit than conventional halos. The system also has a removable plate for emergency CPR.

Patient Benefits

There are a number of benefits that Trulife’s Lerman Non-Invasive Halo has over conventional spinal orthotic devices. One of the greatest advantages is that it greatly improves the quality of life for a patient throughout the healing process. There is a large reduction in weight, of up to 50% in many cases, the device is therefore far more comfortable and much more manageable to wear. A patient is able to lie completely horizontally when wearing the brace.

Ensuring the necessary precautions are being observed, it is possible to temporarily take off the device so basic hygiene functions can be completed. During this time the patient can be examined to ensure there are no skin irritations or infections present.

A important benefit of our Non-Invasive Halo is that patients do not experience any muscle atrophy in their neck and therefore can move straight from a brace to a soft collar or in some cases to no collar at all.

It is possible to fit a patient with the Lerman Non-Invasive Halo in the supine position and the anterior plate can be removed very easily if emergency access to the thorax is required. The floating occipital pad reduces any pressure over the occiput.

The costs associate with Lerman NIH can be up to 40% lower than with invasive halo, thus making it not only more comfortable for the patient to wear but also more economical.

Retrospective Study

Research by Sawers, DiPaola, Rechtine ‘Suitability of the noninvasive halo for cervical spine injuries: a retrospective analysis of outcomes’ published in The Spinal Journal. 2009; 216 – 220 revealed some interesting results.

The study monitored:

The study revealed that all fractures had healed successfully and in alignment. There was no additional loss of neurological function. Almost all of the patients felt the Lerman NIH as being comfortable and feeling secure when worn and none reverted to using invasive halo.

A brief comparison is illustrated below:

Lerman Non-Invasive Halo v Invasive Halo


Lerman NIH

  • 12% (2) non-compliance where:
  • 1 patient loosened
  • No incidence of Infection
  • No Dysphagia
  • 6% (1) reported ulcer
  • No scarring

Invasive Halo

  • Pin and Ring loosening – 36% – 60% of patients
  • Pin Infection in 20% of cases
  • Dysphagia – 4%
  • Pressure Ulcers – 11%
  • Facial scarring
  • Skull and Dural penetratio


Cervical Orthotics by Trulife

Trulife has designed a complete range of cervical orthotic devices that are very popular with both patients and practitioners. If you require additional information please contact us or locate a distributor.

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