Star A M, Jones A A, Cotler J M, Balderston R A, Sinha R
Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
Spine (Phila Pa 1976). 1990 Oct;15(10):1068-72. doi: 10.1097/00007632-199015100-00016.
Cervical facet dislocations may be reduced rapidly and effectively using axial traction with weights applied at over the traditional 45-pound limit. Fifty-three sequential patients with cervical facet dislocations were reviewed. Thirty-nine patients required more than 50 pounds of traction to achieve rapid reduction. Sixty-eight percent of the entire series showed significant improvement in neurologic function. There were no cases of significant loss of function. A cadaver study confirmed that the cranial tongs could support over 100 pounds of traction. Careful application of up to 100 pounds seems to be associated with a low risk of neurologic compromise or tong failure, but results in effective reduction of dislocations.
使用轴向牵引并施加超过传统45磅限制的重量，可以快速有效地复位颈椎小关节脱位。回顾了53例连续的颈椎小关节脱位患者。39例患者需要超过50磅的牵引力才能实现快速复位。整个系列中有68%的患者神经功能有显著改善。没有出现功能显著丧失的病例。一项尸体研究证实，颅骨钳可以承受超过100磅的牵引力。谨慎施加高达100磅的牵引力似乎与神经功能受损或钳子失效的低风险相关，但能有效复位脱位。
