Shoulder Harness Traction for Roentgenographic Assessment of the Cervical Spine

Cs, Norris; We, Silva; Tf, Dodson; J, Darrow

doi:10.1001/archsurg.1986.01400040090014

Cited by 6 publications

(3 citation statements)

References 9 publications

(1 reference statement)

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“…They used a belt attached to the wrist of patients and patients pulled this belt with their feet [12]. Norris et al compared a traction device to manual traction [13]. Arm traction with weights used in our study showed benefit in increasing visualization.…”

Section: Discussionmentioning

confidence: 79%

Value of the swimming position and arm traction in visualizing the cervicothoracic junction over the standard lateral cervical X-ray

et al. 2010

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BackgroundThe cervicothoracic junction (CTJ) is often inadequately visualized on lateral cervical X-rays due to anatomic variations and technical factors.AimsThe aim of this study was to investigate whether the swimmer’s view and arm traction could enhance the image field on the standard lateral cervical (SLC) X-ray.MethodsThe study was conducted in a university hospital in October 2007 with 40 volunteers. SLC X-ray, lateral cervical X-ray in the swimming position, and lateral cervical X-ray with arm traction were performed in the supine position. The enhancements in the image fields were analyzed.ResultsThere was a statistically significant difference for the increases in the view of cervical spines between SLC X-ray (12.60 ± 7.48) and either lateral cervical X-ray with arm traction (21.73 ± 9.78; p = 0.000) or in the swimming position (21.20 ± 14.19; p = 0.001). Both arm traction and swimming position increased the field of view by approximately 9 mm. Increased visualization of the cervical spine occurred for 24 of the 40 participants using the arm traction view (60.0%) and 23 participants (57.5%) using the swimming position view—results found to be statistically similar according to the ≥ 1/3 caudal vertebral height visualized (p = 0.902). Using the lateral cervical X-ray view, the number of cervical vertebrae visualized differed according to body mass index (BMI)—seven cervical vertebrae were visualized in participants with a BMI < 25 and six vertebrae were visualized in participants with a BMI ≥ 25 (p = 0.007).ConclusionLateral cervical X-rays with arm traction and swimming position enhance the view of SLC X-rays. An initial SLC X-ray including the lower third of the cervical spine (with C7), arm traction, and swimming position may be beneficial in visualizing the CTJ. However, patients with an increased BMI are unlikely to benefit from all three methods.

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Section: Discussionmentioning

confidence: 79%

Value of the swimming position and arm traction in visualizing the cervicothoracic junction over the standard lateral cervical X-ray

et al. 2010

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“…Previous studies have identified the effectiveness of Swimmer's view (1,4,17) and supine oblique view (17) in the visualization of the lower C-spine region. Certain literature suggests that there is an impact of arm traction on the visibility of the cervical region in radiography for the supine position (18)(19)(20)(21). Toksoy et al (4) found that traction can increase the field of view of the C-spine by approximately 9 mm.…”

Section: Discussionmentioning

confidence: 99%

A comparison of erect weight-bearing and non-weight-bearing radiography of the cervical spine in non-trauma patients

Weerakoon

Karunaratne

Jayasundara

2021

JHSCI

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Introduction: Various positioning techniques are utilized to enhance the visualization of lower cervical vertebrae on lateral radiographs. However, the effectiveness of these techniques still remains unclear. This study was conducted to determine the effect of the weight-bearing (WB) technique in visualizing lower cervical vertebrae and cervicothoracic junction (C7-T1) on standing lateral cervical radiographs of adult non-trauma patients. The study was conducted using both computed radiography (CR) and digital radiography (DR) systems.Methods: Forty-four CR (29 WB and 15 non-WB – NWB) and 61 DR (26 WB and 35 NWB) lateral C-spine radiographs were prospectively evaluated to assess the visible number of cervical vertebral bodies and C7-T1 junction. The instructions given by the radiographer to the patient for the imaging procedure were also assessed on the Likert scale (very good, good, fair, poor, very poor).Results: There was no significant difference (p > 0.05) in the visualization of the number of vertebral bodies between the two techniques of WB and NWB for CR or DR. Further, no significant relationship (p > 0.05) was observed between the WB technique and the visualization of C7-T1 junction in DR systems. However, a significant difference was identified for CR (p = 0.012). The instruction given to the patient significantly correlated with the visibility of the lower C-spine region within each group of WB and NWB in both imaging systems.Conclusions: The visibility of the number of vertebral bodies in the lower C-spine region in either CR or DR systems did not demonstrate any enhancement with the WB technique. Regardless of the imaging system or techniques used, adequate instructions given to the patient before and during the imaging procedure of C-spine lateral radiography demonstrated a significant improvement in visualizing the lower C-spine region. In this preliminary study, the application of erect WB radiography technique in evaluating the lower cervical region of adult non-trauma patients gives limited advantage.

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“…2,3 Evidence exists for its efficacy; a study by Toksoy et al 4 showed a statistically significant improvement in cervical spine visualization by an average of 9 mm with the use of weight-assisted upper limb traction. 4 There is a lack of evidence in the literature, clearly describing the use of manual arm traction during spinal surgery to improve the view of the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Intra-operative upper limb manual traction to improve radiographic view of the distal cervical spine

Payne

Gulihar

Tyler

et al. 2012

Current Orthopaedic Practice

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We describe a method of applying upper limb manual traction during spinal surgery to improve the view of the seventh cervical vertebra when using a lateral cervical spine radiograph. Two non-adhesive skin traction kits are used, one attached to each arm. This allows traction to be applied during intermittent periods of the operation. This is a simple, cost-effective solution producing reliable comparable images, allowing the cervical spine to be viewed to the cervicothoracic junction. We report no instances of patient tissue or nerve plexus injury during its use.

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Shoulder Harness Traction for Roentgenographic Assessment of the Cervical Spine

Cited by 6 publications

References 9 publications

Value of the swimming position and arm traction in visualizing the cervicothoracic junction over the standard lateral cervical X-ray

Value of the swimming position and arm traction in visualizing the cervicothoracic junction over the standard lateral cervical X-ray

A comparison of erect weight-bearing and non-weight-bearing radiography of the cervical spine in non-trauma patients

Intra-operative upper limb manual traction to improve radiographic view of the distal cervical spine

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