Cervical Traction CPT
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
Cervical Traction Complications
Cervical Traction Follow-up care
Cervical Traction Outcomes
Cervical Traction Review References