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cervical traction devices

Andrew Loftus, Harvey Pynn, Paul Parker
Terrorist acts occur every day around the world. Healthcare professionals are often present as bystander survivors in these situations, with none of the equipment or infrastructure they rely on in their day-to-day practice. Within several countries there has been a move to disseminate the actions to take in the event of such attacks: in the UK, Run, Hide, Tell , and in the USA, Fight Back This paper outlines how a very basic medical knowledge combined with everyday high-street items can render highly effective first aid and save lives...
June 15, 2018: Emergency Medicine Journal: EMJ
Mohammad Sadegh Masoudi, Nima Derakhshan, Fariborz Ghaffarpasand, Tayebeh Sadeghpour
OBJECTIVES: To introduce a novel traction device for management of pediatric atlanto-axial rotatory subluxation (AARS) in source limiting areas. BACKGROUND: Atlanto-axial (C1-C2) joint is accountable for up to two third of total axial craniocervical rotation. Its major role in pivotal rotation of cervical spine makes it more vulnerable to a certain type of injury known as AARS. Management of AARS is based on the Fielding classification which includes closed reduction and immobilization and cervical fusion in unstable cases...
October 2017: World Neurosurgery
Yoshihisa Matsumoto, Jun Mizutani, Nobuyuki Suzuki, Seiji Otsuka, Kazuo Hayakawa, Muneyoshi Fukuoka, Ikuo Wada
BACKGROUND: The primary treatment strategy for chronic atlantoaxial rotatory fixation (chro-AARF) is traction followed by bracing or application of a halo device. However, to complete these conservative therapies, patient cooperation is mandatory. If conservative therapy fails, surgery is required for reduction and prevention of recurrence. It has been considered that surgery for atlantoaxial rotatory fixation necessitates solid bony fusion. However, once bony fusion is achieved, loss of range of motion is problematic...
June 2017: World Neurosurgery
Eric M Chumbley, Nicole O'Hair, Adrienne Stolfi, Christopher Lienesch, James C McEachen, Bruce A Wright
INTRODUCTION: Most fighter pilots report cervical pain during their careers. Recommendations for remediation lack evidence. We sought to determine whether regular use of a home cervical traction device could decrease reported cervical pain in F-15C pilots. METHODS: An institutional review board-approved, Health Insurance Portability and Accountability Act-compliant, controlled crossover study was undertaken with 21 male F-15C fighter pilots between February and June 2015...
December 1, 2016: Aerospace Medicine and Human Performance
Haitham Torky, Asem Moussa, El-Sayed El-Desouky, Osama Dief, Ali Ahmed
OBJECTIVES: The aim of this study was to compare the pain-relieving effect of intracervical lidocaine gel with that of lidocaine spray or no local anaesthesia in decreasing pain during insertion of the intrauterine contraceptive device (IUCD). METHODS: In a prospective multicentre non-randomised comparative study design, 420 women were divided into three groups of 140 and fitted with the same type of IUCD. Group 1 received cervical lidocaine gel, group 2 received cervical lidocaine spray and group 3 received no topical anaesthesia...
April 2017: European Journal of Contraception & Reproductive Health Care
Micha Holla, Gerjon Hannink, Thomas G E Eggen, Robin A Daanen, Allard J F Hosman, Nico Verdonschot
STUDY DESIGN: Cadaveric radiostereometric analysis study. OBJECTIVE: To quantify the ability of five commonly used immobilizers to restrict cervical spine movement, including intervertebral movement, in three directions. SUMMARY OF BACKGROUND DATA: Evidence about the ability of many clinically used cervical immobilizers to restrict cervical movement is limited. Furthermore, their effect on intervertebral movement is unknown. METHODS: Radiographic inert beads were implanted in the cervical vertebral bodies of five fresh-frozen human cadavers...
October 15, 2017: Spine
Robert Haładaj, Mariusz Pingot, Mirosław Topol
BACKGROUND Among all spinal therapies, treatment of the cervical segment is the most difficult. The cervical segment is particularly sensitive to injuries and pain, and it also requires special care due to its great mobility and most delicate construction. The aim of this research was to evaluate analgesic efficacy and improvement of active mobility of the cervical spine after traction therapy with the Saunders device and high-intensity laser therapy (HILT) immediately after therapy, and in short-, medium-, and long-term follow-up in patients with cervical spondylosis...
January 20, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Carolyn W Swenson, Tovia M Smith, Jiajia Luo, Giselle E Kolenic, James A Ashton-Miller, John O DeLancey
BACKGROUND: It is unknown how initial cervix location and cervical support resistance to traction, which we term "apical support stiffness," compare in women with different patterns of pelvic organ support. Defining a normal range of apical support stiffness is important to better understand the pathophysiology of apical support loss. OBJECTIVE: The aims of our study were to determine whether: (1) women with normal apical support on clinic Pelvic Organ Prolapse Quantification, but with vaginal wall prolapse (cystocele and/or rectocele), have the same intraoperative cervix location and apical support stiffness as women with normal pelvic support; and (2) all women with apical prolapse have abnormal intraoperative cervix location and apical support stiffness...
February 2017: American Journal of Obstetrics and Gynecology
Ibrahim M Moustafa, Aliaa A Diab, Shimaa Taha, Deed E Harrison
OBJECTIVE: To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the intensity of pain, disability, and peripheral and central nervous system function in patients with discogenic cervical radiculopathy (CR). DESIGN: A randomized controlled trial with 1-year and 10-week follow-up. SETTING: University research laboratory. PARTICIPANTS: Patients (N=60; 27 men) with chronic discogenic CR, a defined hypolordotic cervical spine, and AHT posture were randomly assigned to a control group (n=30; mean age, 43...
December 2016: Archives of Physical Medicine and Rehabilitation
E O Uche, O E Nwankwo, E Okorie, A Muobike
BACKGROUND: Treatment of cervical spine injury is the most challenging of all the injuries of the spine, and there is yet no agreement on the best method of care. OBJECTIVE: We studied the complications and outcome of two skull traction devices used to treat cases of cervical spine injury in three centers in Enugu, South East Nigeria. PATIENTS AND METHODS: A retrospective analysis of patients with cervical spine injury managed with skull traction as the definitive treatment using either Crutchfield or Gardner-Wells tongs over a 5-year period (April 2008-March 2013)...
September 2016: Nigerian Journal of Clinical Practice
M Provencher, A Habing, S A Moore, L Cook, G Phillips, R C da Costa
BACKGROUND: The dynamic component of disc-associated cervical spondylomyelopathy (DA-CSM) currently is evaluated using traction magnetic resonance imaging (MRI), which does not assess changes in flexion and extension of the cervical vertebral column. In humans with cervical spondylotic myelopathy, kinematic MRI is used to identify dynamic compressions. HYPOTHESIS/OBJECTIVES: To evaluate the feasibility and utility of kMRI in Doberman Pinschers with DA-CSM using a novel positioning device...
July 2016: Journal of Veterinary Internal Medicine
Nael Hawi, Dirk Alfke, Emmanouil Liodakis, Mohamed Omar, Christian Krettek, Christian Walter Müller, Rupert Meller
The aim was to report a rare case of isolated traumatic atlantoaxial rotatory subluxation without ligamentous injury. Management consisted of analgesia, sedation, and application of a halo skull traction device. After removing halo skull traction, full reduction and recovery were achieved without instability.
2016: Case Reports in Orthopedics
Micha Holla, Joske M R Huisman, Nico Verdonschot, Jon Goosen, Allard J F Hosman, Gerjon Hannink
PURPOSE: To review the ability of various types of external immobilizers to restrict cervical spine movement. METHODS: With a systematical review of original scientific articles, data on range of motion, type of used external immobilization device and risk of bias were extracted. The described external immobilization devices were grouped and the mean restriction percentage and standard deviation were calculated. Finally, each device was classified based on its ability to restrict movement of the cervical spine, according to five levels of immobilization: poor (MIL <20 %), fair (MIL 20-40 %), moderate (MIL 40-60 %), substantial (MIL 60-80 %), and nearly complete (MIL ≥80 %)...
July 2016: European Spine Journal
Fabio Luiz Camargo Vilella Berbert, Camila Galletti Espir, Fernando Simões Crisci, Marcelo Ferrarezz, T de Andrade, Gisselle Moraima Chávez-Andrade, Renato de Toledo Leonardo, José Roberto Cury Saad, José Claudio Martins Segalla, Luiz Geraldo Vaz, Keren Cristina Fagundes Jordão Basso, Andrea Abi Rached Dantas
AIM: This study evaluated the effect of ultrasonic vibration on the tensile strength required to remove intraradicular post cemented with different materials. MATERIALS AND METHODS: Bovine teeth were selected, and 7 mm of the cervical root canals were prepared to size 5 Largo drill, the posts were cemented with zinc phosphate, Enforce (resin) or Rely X (glass ionomer). The specimens were divided into six groups (n = 10), according to the following procedures: GI-cementation with zinc phosphate associated with traction force; GII-cementation with zinc phosphate associated with ultrasonic activation and traction force; G111-cementation with Enforce associated with traction force; GIV-cementation with Enforce associated with ultrasonic activation and traction force; GV-cementation with Rely X associated with traction force; and GVI-cementation with Rely X associated with ultrasonic activation and traction force...
June 1, 2015: Journal of Contemporary Dental Practice
Robert Haładaj, Julia Pingot, Mariusz Pingot
UNLABELLED: Osteoarthritis of the spine is a major global health problem, it is an epidemic of our times. It affects all parts of the spine, but the hardest to treat is its cervical region. The cervical spine is most mobile, delicate and sensitive to any load. It requires special care in conservative treatment. To date the selection of effective therapeutic approaches has been controversial. AIM: The aim of the study was to assess the progress of rehabilitation in patients with cervical radicular pain syndrome after using two different methods of treatment: HILT and spinal axial traction with the use of Saunders device...
July 2015: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Miguel A Solano, Noel Fitzpatrick, Judith Bertran
OBJECTIVE: To retrospectively investigate a novel surgical technique using the Fitz Intervertebral Traction Screw (FITS) combined with string-of-pearl (SOP™) locking plates for the treatment of Disc Associated Wobbler Syndrome (DAWS). STUDY DESIGN: Case series (n = 16). METHODS: Ventral approach and fenestration of the affected disc(s), nuclear extirpation, and insertion of the FITS device to the level of the dorsal annulus was followed by application of one or two 3...
July 2015: Veterinary Surgery: VS
Andrzej Myśliwiec, Edward Saulicz, Michał Kuszewski, Przemysław Sładkowski, Tomasz Wolny, Mariola Saulicz
BACKGROUND: Among the procedures used in the therapy of spinal pain syndromes one of the most frequently recommended is the cervical traction. The methods of performing the traction are varied. OBJECTIVES: It was decided to examine in the research whether the abduction and external rotation of the brachium, causing relaxation of the pectoral girdle muscles as well as the cervical spine, affects the quality and efficiency of traction in the patient's subjective assessment and the changes in the cervical spine range of motion...
September 2014: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Alexander N J White, David T Wong, Christina L Goldstein, Jean Wong
PURPOSE: We present a case of upper airway obstruction in a patient with an unstable cervical spine fracture in a halo orthosis. We also describe the mechanism by which the obstruction occurred and identify features that predispose patients in a halo orthosis to upper airway obstruction. CASE: An 81-yr-old female presenting to hospital with an unstable cervical spine fracture was scheduled for spinal fusion. She was fitted with a halo traction device in a flexed position, and an awake tracheal intubation was planned...
March 2015: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Andrew L Atkinson, Jonathan D Baum
Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Physician visualization and/or the patient feeling retrieval threads at the cervical os are confirmation that the IUD has not been expelled or migrated. We present a case of a perforated, intraperitoneal IUD with threads noted at the cervical os...
2014: Case Reports in Obstetrics and Gynecology
Qi Wang, Bin Xiong, ChuanSheng Zheng, GanSheng Feng, Ming Liang, HuiMin Liang
PURPOSE: To investigate the feasibility and safety of the interventional technique of retrieving the fractured peripherally inserted central catheter (PICC) segments within the vessels via the femoral vein. METHODS: From July 2007 to January 2012, we performed percutaneous retrieval of PICC fractures in six cancer patients who accepted chemotherapy via PICC. The fractures occurred during the traction of the catheter and were diagnosed with chest plain film radiography and/or computed tomography...
January 2015: Journal of Vascular Access
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