Rapid traction for reduction of cervical spine dislocations
There is still some controversy about the reduction of unilateral and bilateral facet dislocations in the cervical spine. We have reviewed the notes and radiographs of 210 such patients; reduction was attempted by manipulation under anaesthesia (MUA) in 91, and by rapid traction under sedation in 11...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1994-05, Vol.76 (3), p.352-356 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | LEE, A. S MACLEAN, J. C. B NEWTON, D. A |
| description | There is still some controversy about the reduction of unilateral and bilateral facet dislocations in the cervical spine. We have reviewed the notes and radiographs of 210 such patients; reduction was attempted by manipulation under anaesthesia (MUA) in 91, and by rapid traction under sedation in 119, using weights up to 150 lb (68 kg). Our results suggest that early reduction in patients with neurological deficit gives the best chance of neurological recovery, that rapid traction is more often successful than MUA, and that traction is safer than MUA. We found that the use of heavy weights with close monitoring was safe and brought about reduction in an average time of 21 minutes. We recommend this technique for the reduction of all cervical facet dislocations. |
| doi_str_mv | 10.1302/0301-620x.76b3.8175833 |
| format | Article |
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We recommend this technique for the reduction of all cervical facet dislocations.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620x.76b3.8175833</identifier><identifier>PMID: 8175833</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cervical Vertebrae - injuries ; Female ; Humans ; Injuries of the limb. Injuries of the spine ; Joint Dislocations - therapy ; Male ; Manipulation, Orthopedic ; Medical sciences ; Middle Aged ; Traction - methods ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of bone and joint surgery. 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A</creatorcontrib><title>Rapid traction for reduction of cervical spine dislocations</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>There is still some controversy about the reduction of unilateral and bilateral facet dislocations in the cervical spine. We have reviewed the notes and radiographs of 210 such patients; reduction was attempted by manipulation under anaesthesia (MUA) in 91, and by rapid traction under sedation in 119, using weights up to 150 lb (68 kg). Our results suggest that early reduction in patients with neurological deficit gives the best chance of neurological recovery, that rapid traction is more often successful than MUA, and that traction is safer than MUA. We found that the use of heavy weights with close monitoring was safe and brought about reduction in an average time of 21 minutes. We recommend this technique for the reduction of all cervical facet dislocations.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cervical Vertebrae - injuries</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Dislocations - therapy</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Traction - methods</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Joint Dislocations - therapy</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Traction - methods</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEE, A. S</creatorcontrib><creatorcontrib>MACLEAN, J. C. B</creatorcontrib><creatorcontrib>NEWTON, D. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEE, A. S</au><au>MACLEAN, J. C. B</au><au>NEWTON, D. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rapid traction for reduction of cervical spine dislocations</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>1994-05-01</date><risdate>1994</risdate><volume>76</volume><issue>3</issue><spage>352</spage><epage>356</epage><pages>352-356</pages><issn>0301-620X</issn><eissn>2044-5377</eissn><coden>JBSUAK</coden><abstract>There is still some controversy about the reduction of unilateral and bilateral facet dislocations in the cervical spine. We have reviewed the notes and radiographs of 210 such patients; reduction was attempted by manipulation under anaesthesia (MUA) in 91, and by rapid traction under sedation in 119, using weights up to 150 lb (68 kg). Our results suggest that early reduction in patients with neurological deficit gives the best chance of neurological recovery, that rapid traction is more often successful than MUA, and that traction is safer than MUA. We found that the use of heavy weights with close monitoring was safe and brought about reduction in an average time of 21 minutes. We recommend this technique for the reduction of all cervical facet dislocations.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>8175833</pmid><doi>10.1302/0301-620x.76b3.8175833</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-620X |
| ispartof | Journal of bone and joint surgery. British volume, 1994-05, Vol.76 (3), p.352-356 |
| issn | 0301-620X 2044-5377 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Biological and medical sciences Cervical Vertebrae - injuries Female Humans Injuries of the limb. Injuries of the spine Joint Dislocations - therapy Male Manipulation, Orthopedic Medical sciences Middle Aged Traction - methods Traumas. Diseases due to physical agents |
| title | Rapid traction for reduction of cervical spine dislocations |
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