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Cervical Traction Technique



Cervical Traction Anatomy

Cervical Traction Indications

  • Neurologic deficit or evidence of cervical spine instability in a patient with an acute spinal cord injury.

Cervical Traction Contraindications

  • Cervical distraction injuries at any level
  • Type IIA hangman's fractures.

Cervical Traction Alternatives

Cervical Traction Planning / Special Considerations

  • Review lateral c-spine film demonstrating C1-T1 before application.
  • Midazolam hydrochloride 1-4 mg IV assists with muscle relaxation.
  • Ensure cervical tongs or halo ring are available.

Cervical Traction Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Contraindications to continued attempts at reduction = worsening neurologic deficits and evidence of distraction by more than 1.0 cm in a disk space. Reduction is typically obtained with 40 to 70 lb of traction
  • Irrigate.
  • Close.

Cervical Traction Complications

Cervical Traction Follow-up care

  • Post-op:
  • 7-10 Days:
  • 6 Weeks:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Cervical Traction Outcomes

Cervical Traction Review References

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