cervical traction

The standard technique for multilevel anterior cervical discectomy and fusion (ACDF) uses a single plate to span multiple vertebral levels. However, the usage of single long plates is linked to potential hardware failure and screw pullout from stress overload. A single long plate is also more likely to fail at the caudal levels. Furthermore, centering a long plate spanning multiple levels requires simultaneous exposure to anatomy that may require more traction, technical expertise, and a potential increase in operative time...

BACKGROUND: Cervical spondylotic radiculopathy is a serious and common degenerative disease of the cervical spine due to irritation and compression of the nerve roots of the cervical spine, resulting in a series of clinical symptoms based on sensory, motor and reflex disorders, such as numbness and pain in the neck, shoulders, upper limbs and fingers. Acupuncture is highly effective in treating CSR and has become a common treatment accepted by patients. This study aims to systematically review and analyze existing randomized controlled trials (RCTs) to evaluate the efficacy and safety of acupuncture in the treatment of CSR...

INTRODUCTION: The mesially inclined mandibular second molar can be supported upright by the microimplant anchorage. This study established the finite element model to analyze the displacement trend and periodontal ligament (PDL) stress distribution of the uprighting mandibular second molar with the microimplant under different conditions. METHODS: A 3-dimensional model of the mandible and dentition was established. The mesial inclination of the mandibular second molar was 30°, 45°, and 60°...

Dysphonia and dysphagia are often observed among patients presenting to the otolaryngology clinic. One of the more common etiologies includes iatrogenic injury to the recurrent laryngeal nerve (RLN) as a known complication of head and neck surgeries such as thyroidectomy or anterior approaches to the cervical spine. Most often, RLN injury occurs in this context due to traction or transection of the nerve. No reports on delayed presentation of RLN injury from the extrusion of cervical spine hardware (screw) could be found in the peer-reviewed literature...

OBJECTIVE: To determine the clinical efficacy of different manipulation in the treatment of cervical instability in young people, and to analyze the risk factors of relapse of cervical instability in young people. METHODS: From March 2021 to June 2022, the clinical data of 120 young patients with cervical instability were retrospectively analyzed. According to the different treatment methods, they were divided into rotation group (60 cases, 3 cases of loss) and tendon group (60 cases, 5 cases of loss)...

Neural mobilisations (NM) have been advocated for the treatment of nerve-related cervicobrachial pain; however, it is unclear what types of patients with nerve-related cervicobrachial pain (if any) may benefit. Medline, Web of Science, Scopus, PeDro, Cinahl, and Cochrane databases were searched from inception until December 2022. Randomised controlled trials were included if they assessed the effectiveness of NM in nerve-related cervicobrachial pain, and outcome measures were pain intensity and/or disability...

Blastomycosis infection is caused by the inhalation of the spores of the dimorphic Blastomyces sp.fungus. While more commonly a self-limited infection of the lungs, extrapulmonary manifestations arise from hematogenous or contiguous spread. Disseminated infection most often includes skin lesions and osteomyelitis; however, central nervous system (CNS) involvement is infrequently reported in the literature. Herein, we present a case of a retropharyngeal blastomycosis abscess leading to cervical spine osteonecrosis with retropulsion, deformity, and a spinal epidural abscess, and we discuss the relevant literature...

This series illustrates how rear-end impact motor vehicle collisions (MVCs) alter the cervical spine's alignment and demonstrates therapeutic use of cervical extension traction to improve lordotic alignment and other outcomes. This is a retrospective reporting of 7 adult patients (4 males and 3 females, 28-42 years) treated for cervical hypolordosis. These subjects received Chiropractic BioPhysics® (CBP® ) rehabilitation and then were involved in a rear-end MVC. All cases had radiographic assessment that quantified the buckling of the cervical spine, presumably resulting directly from the CAD trauma...

The present study aimed to test the efficiency of transcervical artificial insemination techniques with cervical immobilization (TCAI-CI) or cervical traction (TCAI-CT), associated or not with the use of oxytocin (OT) as a protocol for cervical dilation, in the brown brocket deer (Subulo gouazoubira). The study was carried out in a crossover design using four adult females in two replicates with an interval of 60 days. Estrus was synchronized with oral melengestrol acetate (MGA) associated with estradiol benzoate and sodium cloprostenol...

OBJECTIVE: To show a 10-step standardized vaginal surgical technique to treat first trimester C-Section scar pregnancies. DESIGN: Video Article with a stepwise demonstration captured in an Operation Room of a tertiary medical center of a Low-Income country (Bolivia). SETTING: C-Section scar pregnancies have a wide variety of management options. We present a vaginal surgical approach which has been developed by our group with no observed complications in 6 consecutive cases at the time of this publication...

STUDY DESIGN: Technical note. PURPOSE: To provide a technical description of the placement of Gardner-Wells tongs and the performance of awake cranio-cervical traction to reduce AO type C injuries of the sub-axial cervical spine with Gardner-Wells tongs. METHODS: In this technical note, the authors present the indications, the contraindications, the pull-out of the pins, a detailed description of the technique for its proper placement, traction reduction technique, reduction maneuvers, complications and post-reduction care...

Cervical conjoined nerve root is rare, and medical imaging, such as MRI and CT, cannot give an accurate preoperative diagnosis.1 Treatment of cervical radiculopathy with root anomaly can be challenging. We report here a case of cervical conjoined nerve root with 2-dimensional video. A 41-year-old woman without systemic disease presented with a 2-months' history of neck and bilateral shoulder pain, upper back tightness, and left upper limb painful numbness, especially of the 1st to 3rd fingers. The visual analogue scale (VAS) of the neck and left upper limb were 4 and 8, respectively...

Cervical radiculopathy secondary to spondylosis is common in the elderly. Systematic reviews suggest that no single treatment modality represents the standard of care. A no-cost, bedside, self-traction intervention can be a useful adjunct to current options. A 60-year-old South Asian male presented with severe cervical radiculopathic pain in April 2019, proven by magnetic resonance imaging to be secondary to spondylosis. Since late 2019, he has been doing a daily self-traction procedure in which he lies prone with the anterior chest and abdomen flat on a bed, shoulders just off the mattress edge, and arms to the side...

INTRODUCTION AND IMPORTANCE: Traumatic subluxation of C2-C3 with Atlanto-Axial dislocation is very rare and uncommon condition. Only a very few case reported. What constitutes appropriate management in cases of traumatic C2-C3 subluxation with Atlato-axial dislocation is still controversial due to the infrequency of this injury. We managed a patient who had traumatic C2-C3 subluxation with Atlanto-axial dislocation following a history of trauma through posterior approach successfully...

The main and more frequent problem in face lift is recurrence of neck bands. To improve face lift stability, a new aging analysis is proposed. The visible sign of face aging is skin excess. Superficial musculo aponeurotic system (SMAS) retraction is a much less visible sign. Nevertheless, botulinum toxin injections elongate muscles of the SMAS and rejuvenate the face. In the Face Recurve Concept, MRI studies prove the mimic muscles retraction that comes with aging. Face lift techniques include SMAS plication, traction or excision, which increases discrepancy between the envelope, the skin and the core, the SMAS...

BACKGROUND: To evaluate the difficulty of reduction of congenital atlantoaxial dislocation (AAD) with/without os odontoideum or basilar invagination (BI) based on CT quantitative analysis. METHODS: From March 2018 to December 2022，the CT features of 108 patients with AAD with/without os odontoideum or BI were analyzed. Quantitative scores were defined according to imaging features, including: sloping of the lateral mass, osteophyte between the lateral mass joint, ball-and-socket deformity of the lateral mass joint, vertical interlocking of the lateral mass joint, callus between the lateral mass joint, atlanto-odontoid joint hyperplasia, blocking or fusion...

INTRODUCTION: Cervical spondyloptosis is a rare complication of high-energy trauma which often results in significant patient morbidity and mortality. The authors present a case of spondyloptosis of C7 over T1 with minimal radicular symptoms and otherwise complete spinal cord sparing. This case highlights the surgical challenges faced with cervical spondyloptosis and the techniques used when traction fails. CASE PRESENTATION: A 21-year-old man with no significant past medical history presented after a high-speed motor vehicle collision with cervicothoracic pain and mild hand grip weakness in addition to numbness of the fourth and fifth digits bilaterally (American Spinal Injury Association Impairment Scale Grade D)...

BACKGROUND: Mechanical labour induction with a transcervical balloon is as effective as pharmacological methods, with fewer adverse effects. Its use has been limited to labour induction with an unfavourable cervix able to retain the balloon. We have developed an innovative approach using 2-3 balloons side-by-side to extend the benefits of mechanical labour induction/augmentation with a favourable cervix without having to resort to amniotomy or uterotonics. OBJECTIVES: To assess the effectiveness of side-by-side balloons for extended labour induction/augmentation...

INTRODUCTION: At present, the double balloon represented by the COOK Cervix Ripening Balloon and the single balloon represented by the Foley catheter are the commonly used intrauterine balloons. The application of intrauterine balloons in cervical ripening has evolved over 100 years. Although intrauterine balloons have been widely used in cervical ripening, the effect of labor induction in clinical practice does not satisfy all clinicians, especially patients with poor cervical maturity...

[This retracts the article DOI: 10.1155/2022/3837995.].