使用Gardner-Wells钳对下颈椎骨折脱位进行闭合复位。技术说明。
Closed reduction of fracture-dislocation of the sub-axial cervical spine with Gardner-Wells tongs. Technical note.
作者信息
Rios Jeasson Javier Pérez, Bernáldez Guillermo Iván Ladewig, Oropeza Edith Oropeza, Aguilar Oscar Josué Montes, Olvera Manuel Dufoo
机构信息
National Autonomous University of Mexico, Ciudad de México, Mexico.
Mexico City Spine Clinic, "Dr. Manuel Dufoo Olvera", Mexico City, Mexico.
出版信息
Trauma Case Rep. 2023 Sep 26;48:100948. doi: 10.1016/j.tcr.2023.100948. eCollection 2023 Dec.
STUDY DESIGN
Technical note.
PURPOSE
To provide a technical description of the placement of Gardner-Wells tongs and the performance of awake cranio-cervical traction to reduce AO type C injuries of the sub-axial cervical spine with Gardner-Wells tongs.
METHODS
In this technical note, the authors present the indications, the contraindications, the pull-out of the pins, a detailed description of the technique for its proper placement, traction reduction technique, reduction maneuvers, complications and post-reduction care.
RESULTS
Awake reduction of AO type C injuries of the sub-axial cervical spine can be successfully performed using Gardner-Wells tongs.
CONCLUSIONS
There is sufficient evidence to recommend the use of cranio-cervical traction in these vertebral injuries; however, we lack a detailed technical note to guide its proper placement.
研究设计
技术说明。
目的
提供关于使用Gardner-Wells钳进行放置以及清醒状态下颅颈牵引以通过Gardner-Wells钳复位下颈椎AO C型损伤的技术描述。
方法
在本技术说明中，作者介绍了适应证、禁忌证、销钉拔出、其正确放置技术的详细描述、牵引复位技术、复位手法、并发症及复位后护理。
结果
使用Gardner-Wells钳可成功清醒复位下颈椎AO C型损伤。
结论
有充分证据推荐在这些椎体损伤中使用颅颈牵引；然而，我们缺乏详细的技术说明来指导其正确放置。
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