Overdistraction: a hazard of skull traction in the management of acute injuries of the cervical spine

1991 ◽  
Vol 110 (5) ◽  
pp. 242-245 ◽  
Author(s):  
B. Jeanneret ◽  
F. Magerl ◽  
J. C. Ward
Keyword(s):  
Cervical Spine ◽  
Acute Injuries ◽  
Skull Traction

Overdistraction of Cervical Spine Injuries with the Use of Skull Traction

1997 ◽  
Vol 42 (6) ◽  
pp. 1152-1156 ◽  
Author(s):  
Marcelo F. Gruenberg ◽  
Glenn R. Rechtine ◽  
Ann Marie Chrin ◽  
Carlos A. Sola ◽  
Eligio G. Ortolan
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Skull Traction

scholarly journals Experience with early anterior operation in acute injuries of the cervical spine

Spinal Cord ◽  
1977 ◽  
Vol 15 (2) ◽  
pp. 110-122 ◽  
Author(s):  
W J Horsey ◽  
W S Tucker ◽  
A R Hudson ◽  
S W Schatz
Keyword(s):  
Cervical Spine ◽  
Acute Injuries ◽  
Anterior Operation

Halo-thoracic brace immobilization in 188 patients with acute cervical spine injuries

1983 ◽  
Vol 58 (4) ◽  
pp. 508-515 ◽  
Author(s):  
Richard C. Chan ◽  
Joseph F. Schweigel ◽  
Gordon B. Thompson
Keyword(s):  
Cervical Spine ◽  
Early Mobilization ◽  
Fusion Rate ◽  
Spine Injury ◽  
Cervical Cord ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Cervical Fractures ◽  
Cord Injury ◽  
Skull Traction

✓ The authors report 188 patients with acute cervical spine injury with fracture who underwent Halothoracic brace immobilization. The majority of the fractures were considered unstable. Early neurological assessment revealed 24 patients without neurological deficit. There were 164 patients with associated cervical cord injury; 84 patients with incomplete, and 80 patients with complete tetraplegia. Management consisted of skull traction and application of the Halo-thoracic brace about 1.3 weeks after admission. The average radiological union time was 11.5 weeks following a mean of 10.2 weeks of immobilization in a Halo apparatus. Satisfactory restoration of bone and ligament stability, with no significant posttreatment neck pain, was obtained in 168 cases (89%). This is comparable to the fusion rate achieved for cervical fractures in the literature. The follow-up periods range from 1 month to 6 years, with a mean of 10.8 months. The management and results in 73 patients with unilaterally and bilaterally locked facets with or without fractures are discussed. Complete tetraplegia is not considered a contraindication to Halo apparatus immobilization. The multiple factors responsible for overcoming the barrier of anesthetic skin are elucidated. Use of the Halo apparatus offers early mobilization and rehabilitation without neurological deterioration. Complications are few and insignificant.

Discography and myelography in acute injuries of the cervical spine

1971 ◽  
Vol 35 (5) ◽  
pp. 529-535 ◽  
Author(s):  
Richard B. Raynor
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
Fracture Dislocation ◽  
Cervical Fracture ◽  
Content Type ◽  
Relative Safety ◽  
Acute Injuries ◽  
Fine Print

✓ Nineteen patients who suffered trauma to the cervical spine that resulted in moderate to severe neurological deficit were studied by discography. In 15 cases, myelography was also performed. When both tests were done there was good correlation of results. In the four cases where only discography was performed, the lesion was accurately localized. The danger of myelography in acute cervical fracture dislocation is emphasized and the relative safety, ease, and value of discography stressed.

Acute Injuries of the Cervical Spine

1966 ◽  
Vol 39 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Edgar A. Kahn ◽  
Alain B. Rossier
Keyword(s):  
Cervical Spine ◽  
Acute Injuries

scholarly journals A Modified Prone Position Using A Body-Shape Plaster Bed and Skull Traction for Posterior Cervical Spine Surgeries

2020 ◽  
Author(s):  
Zhiyu Ding ◽  
Yuezhan Li ◽  
Weiguo Wang ◽  
Jianlong Wang ◽  
Deyang Cai ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Prone Position ◽  
Body Shape ◽  
Comfort Level ◽  
Spine Fracture ◽  
Cervical Spine Fracture ◽  
Traditional Group ◽  
Cervical Spine Surgery ◽  
Significant Difference ◽  
Skull Traction

Abstract Background A modified prone cervical spine surgical position using a body-shape plaster bed with skull traction (BSPST) was compared with the traditional prone surgical position with horseshoe headrests. Methods Forty-seven patients undergoing posterior cervical spine surgery for cervical spine fracture were retrospectively classified into two groups, BSPST group (n = 24) and traditional group (n = 23) and underwent posterior instrumented fusion with or without decompression. Multiple indicators were used to evaluate the advantages of the BSPST compared with the traditional position. Results All the operations went smoothly. The mean recovery rate was 56.30% in the BSPST group and 48.55% in the traditional group, with no significant difference. Intraoperative blood loss and total incidence of complications were significantly less in the BSPST group than in the traditional group. In addition, the BSPST position provided greater comfort level for the operators and allowed convenient intraoperative radiography. Conclusions This is the first study to describe a combined body-shape plaster bed and skull traction as a modified cervical spine prone surgical position that is simple, safe and stable, adjustable during surgery, reproducible and economical for posterior cervical spine fracture surgery and potentially other cervical and upper dorsal spine surgeries in the prone position. Additionally, this position provides surgeons a comfortable surgical field and can be easily achieved in most orthopedic operation rooms.

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