Cervical Traction Technique 20661

synonyms:

Cervical Traction CPT

• 20661 Application of halo, including removal, cranial
• 20664 Application of halo, including removal, cranial, 6 or more pins placed for thin skull osteology
  

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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