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To perform halo-traction therapy a surgeon will use six to ten small pins to attach a "halo" made of a metal ring to the patient's skull. [23] [24] [25] Doctors will typically leave one to two centimeters of distance between the halo and the patient's head. It is common for older patients to be given eight pins while younger patients are given 10.
For thoracic and lumbar spine, support can be provided using custom-fit, hard-shell back braces, most commonly after surgery. [8] A patient in the LA County Medical Center intensive care unit with a Halo orthosis in place. (July 2004) These devices are used while the spine is healing and are not needed permanently. [8]
In most cases traction is only one part of the treatment plan of a patient needing such therapy. The physician's order will contain: Type of traction; Amount of weight to be applied; Frequency of neurovascular checks if more frequent than every four hours; Site care of inserted pins, wires, or tongs; The site and care of straps, harnesses and ...
An inflatable cervical traction device uses both cushioning and air to provide support and traction to the neck. Hansraj likes these because they’re easy to adjust based on personal preference.
Traction can be applied by free weights on a pulley or a halo type brace. The halo brace is the most rigid cervical brace, used when limiting motion to the minimum that is essential, especially with unstable cervical fractures. It can provide stability and support during the time (typically 8–12 weeks) needed for the cervical bones to heal.
Traction involves using a pulling force to align bones and reduce fractures, particularly in cases involving the spine, pelvis, or long bones. It can be achieved through a variety of mechanisms, including skin traction (using adhesive materials attached to the skin) or skeletal traction (which involves pins or wires placed directly into the bone).
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
A cervical collar, also known as a neck brace, is a medical device used to support and immobilize a person's neck. It is also applied by emergency personnel to those who have had traumatic head or neck injuries, [1] although they should not be routinely used in prehospital care. [2] [3] They can also be used to treat chronic medical conditions.