Administration of Pediatric Atlantoaxial Rotatory Subluxation with a Easy Handmade Cervical Traction System: Doing Extra with Much less.
World Neurosurg. 2017 Oct;106:355-358
Authors: Masoudi MS, Derakhshan N, Ghaffarpasand F, Sadeghpour T
OBJECTIVES: To introduce a novel traction machine for administration of pediatric atlanto-axial rotatory subluxation (AARS) in supply limiting areas.
BACKGROUND: Atlanto-axial (C1-C2) joint is accountable for as much as two third of complete axial craniocervical rotation. Its main position in pivotal rotation of cervical backbone makes it extra susceptible to a sure kind of damage often known as AARS. Administration of AARS is predicated on the Fielding classification which incorporates closed discount and immobilization and cervical fusion in unstable circumstances. There are a number of cervical traction gadgets together with the Gardner-Wells tongs and halter traction machine. All of the obtainable gadgets require insertion of pins into the calvarial periosteum which is a painful, invasive and insupportable process particularly for the pediatric sufferers.
METHODS: We designed a easy hand-made cervical traction machine which consists of two tender padded straps (40 × four cm) and a pair of connecting strings which will be utilized simply beneath the chin and occipital areas of the sufferers.
RESULTS: We efficiently handled a 9-year-old lady with AARS with the machine. The benefit of the machine is its obtainable, cheap and non-invasive and the affected person would possibly tolerate it extra simply in comparison with the beforehand designed devices.
CONCLUSION: This hand-made easy cervical traction machine in supply limiting facilities and hospitals is an efficient instance of doing extra with much less. It was efficient and the tolerance of the affected person was acceptable. Additional research with bigger sequence are required for offering acceptable proof.
PMID: 28710045 [PubMed – indexed for MEDLINE]