Closed reduction of fracture-dislocation of the sub-axial cervical spine with Gardner-Wells tongs. Technical note.

Autor:	Rios JJP; National Autonomous University of Mexico, Ciudad de México, Mexico.; Mexico City Spine Clinic, 'Dr. Manuel Dufoo Olvera', Mexico City, Mexico., Bernáldez GIL; National Autonomous University of Mexico, Ciudad de México, Mexico., Oropeza EO; National Autonomous University of Mexico, Ciudad de México, Mexico., Aguilar OJM; National Autonomous University of Mexico, Ciudad de México, Mexico., Olvera MD; National Autonomous University of Mexico, Ciudad de México, Mexico.
Jazyk:	angličtina
Zdroj:	Trauma case reports [Trauma Case Rep] 2023 Sep 26; Vol. 48, pp. 100948. Date of Electronic Publication: 2023 Sep 26 (Print Publication: 2023).
DOI:	10.1016/j.tcr.2023.100948
Abstrakt:	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. Competing Interests: The authors declare that there are no conflicts of interest related to the material included in this paper. (© 2023 The Authors. Published by Elsevier Ltd.)
Databáze:	MEDLINE
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