Complications of halo-pelvic traction

Case report

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  • 1 Department of Neurosurgery, Tufts-New England Medical Center, Boston, Massachusetts
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✓ When halo-pelvic traction is applied at a rapid rate it may induce cranial nerve palsies. The sixth, ninth, and tenth cranial nerves appear to be the most vulnerable. A proposed etiology is the stretching of these nerves resulting in a compromised blood supply with a consequent temporary paralysis which usually improves within 8 to 10 weeks.

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  • 1.

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  • 2.

    MacEwen GD, , Bunnel WP, & Sriram K: Acute neurological complications in the treatment of scoliosis. A report of the Scoliosis Research Society. J Bone Joint Surg 57A:404408, 1975 MacEwen GD, Bunnel WP, Sriram K: Acute neurological complications in the treatment of scoliosis. A report of the Scoliosis Research Society. J Bone Joint Surg 57A:404–408, 1975

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  • 3.

    O'Brien JP, , Yau ACMC, & Hodgson AR: Halo pelvic traction: a technic for severe spinal deformities. Clin Orthop 93:179190, 1973 O'Brien JP, Yau ACMC, Hodgson AR: Halo pelvic traction: a technic for severe spinal deformities. Clin Orthop 93:179–190, 1973

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  • 4.

    O'Brien JP, , Yau ACMC, & Smith TK, et al: Halo pelvic traction: a preliminary report on a method of external skeletal fixation for correcting deformities and maintaining fixation of the spine. J Bone Joint Surg 53B:217229, 1971 O'Brien JP, Yau ACMC, Smith TK, et al: Halo pelvic traction: a preliminary report on a method of external skeletal fixation for correcting deformities and maintaining fixation of the spine. J Bone Joint Surg 53B:217–229, 1971

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  • 5.

    Pinto WDC: Complications of the surgical treatment of scoliosis. Israel J Med Sci 9:837842, 1973 Pinto WDC: Complications of the surgical treatment of scoliosis. Israel J Med Sci 9:837–842, 1973

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  • 6.

    Schatzker J, , Rorabeck CH, & Waddel JP: Fractures of the dens (odontoid process). An analysis of 37 cases. J Bone Joint Surg 53B:392405, 1971 Schatzker J, Rorabeck CH, Waddel JP: Fractures of the dens (odontoid process). An analysis of 37 cases. J Bone Joint Surg 53B:392–405, 1971

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  • 7.

    Schiff DCM, & Parke WW: The arterial supply of the odontoid process. J Bone Joint Surg 55A:14501456, 1973 Schiff DCM, Parke WW: The arterial supply of the odontoid process. J Bone Joint Surg 55A:1450–1456, 1973

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  • 8.

    Sunderland S: Anatomical features of nerve trunks in relation to nerve injury and nerve repair. Clin Neurosurg 17:3862, 1969 Sunderland S: Anatomical features of nerve trunks in relation to nerve injury and nerve repair. Clin Neurosurg 17:38–62, 1969

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  • 9.

    Telfer RB, , Hoyt WF, & Schwartz HS: Crossed eyes and halo pelvic traction. Lancet 2:922923, 1971 Telfer RB, Hoyt WF, Schwartz HS: Crossed eyes and halo pelvic traction. Lancet 2:922–923, 1971

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  • 10.

    Tredwell SJ, & O'Brien JP: Avascular necrosis of the proximal end of the dens. A complication of halo-pelvic distraction. J Bone Joint Surg 57A:332336, 1975 Tredwell SJ, O'Brien JP: Avascular necrosis of the proximal end of the dens. A complication of halo-pelvic distraction. J Bone Joint Surg 57A:332–336, 1975

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  • 11.

    Victor DI, , Bresnan MJ, & Keller RB: Brain abscess complicating the use of halo traction. J Bone Joint Surg 55A:635639, 1973 Victor DI, Bresnan MJ, Keller RB: Brain abscess complicating the use of halo traction. J Bone Joint Surg 55A:635–639, 1973

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