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Skull Traction and Cervical Cord Injury

A New Approach to Improved Rehabilitation

Authors: Breig, Alf

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  • ISBN 978-3-662-22410-6
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About this book

In this book on the optimal treatment of the injured spinal cord we present the reasons why we consider it necessary to handle trauma­ tized medullary tissue in accordance with the classical biological principles of wound healing in general, namely by long-term, ten­ sion-free immobilization of the spinal cord. Today, such immobili­ zation for this purpose can only be achieved by surgical secure­ ment of slight dorsiflexion of the cervical spine. Traumatically compressed medullary tissue is invariably attenu­ ated and weakened. On application of skull traction, the weakened section of the compressed cervical cord is the part that is most overstretched. This inevitably results in increased neurological def­ icit. On scrutiny of the clinical records of 100 tetraplegic patients treated by skull traction at the National Spinal Injuries Centre at the Stoke Mandeville Hospital, Aylesbury, England, from 1971 to 1982, we found that therapeutic skull traction had been followed by an immediate increase in neurological deficit in 12% of the patients - a relatively high figure for the type of case in which beneficial effects oftraction were habitually anticipated. Moreover, in studies on cadavers, artificial defects in fresh human cervical cord in situ showed typical deformation following application of traction, confirming the basic deleterious effects of therapeutic skull traction on the injured cervical cord.

Table of contents (10 chapters)

Table of contents (10 chapters)
  • Compressive Cervical Cord Injury and Therapeutic Skull Traction

    Pages 3-16

    Breig, Alf, M. D., Ph. D.

  • Mechanics and Biomechanics of Pons-Spinal Cord Section of Central Nervous System

    Pages 17-23

    Breig, Alf, M. D., Ph. D.

  • Deleterious Effects of Therapeutic Skull Traction: A Retrospective Study

    Pages 24-37

    Breig, Alf, M. D., Ph. D.

  • Cord Incision Model for Visualization of Adverse Effects of Skull Traction and Ventroflexion of Cervical Spine

    Pages 38-46

    Breig, Alf, M. D., Ph. D.

  • Future Treatment of Cervical Spine Injuries

    Pages 47-51

    Breig, Alf, M. D., Ph. D.

Buy this book

eBook £55.99
price for United Kingdom (gross)
  • ISBN 978-3-662-22410-6
  • Digitally watermarked, DRM-free
  • Included format: EPUB, PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover £69.99
price for United Kingdom (gross)
  • ISBN 978-3-540-50414-6
  • Free shipping for individuals worldwide
  • Immediate ebook access, if available*, with your print order
  • Usually ready to be dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
Skull Traction and Cervical Cord Injury
Book Subtitle
A New Approach to Improved Rehabilitation
Authors
Copyright
1989
Publisher
Springer-Verlag Berlin Heidelberg
Copyright Holder
Springer-Verlag Berlin Heidelberg
eBook ISBN
978-3-662-22410-6
DOI
10.1007/978-3-662-22410-6
Softcover ISBN
978-3-540-50414-6
Edition Number
1
Number of Pages
XIII, 84
Topics

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