How much does skull traction weigh?

Traction of 5-7 kg is usually sufficient; however, heavier traction may occasionally be necessary. After reduction is completed, traction is reduced to 2 kg. This weight is sufficient to immobilize a lesion until definitive treatment is possible.

How do you calculate cervical traction weight?

Cervical traction is set up after the induction of anesthesia. The weights applied for traction are approximately 5 kg or one-sixth of the total body weight. The patient is placed prone with the head end of the table elevated to about 35 degrees (Fig. 34.3).

How much should a lumbar traction weight?

Generally, at least one-quarter of the body weight must be used just to overcome the friction of lumbar traction. The maximum force that a patient can tolerate is often used.

What are Gardner Wells tongs used for?

Gardner-Wells tongs: device for immobilization of cervical spine injuries in which two sharp metal pins are screwed into the superficial layer of the skull. They are then connected to hanging weights or other traction devices for stabilization of the spine.

How long should I do cervical traction?

How Long to Use Traction. In general, you should use the over-the-door traction for about 15 to 20 minutes each session1. You can perform several sessions per day. If your pain is increasing while using the over-the-door traction device, you must stop using it and consult your physical therapist or doctor.

What are Gardner Wells tongs made of?

If an MRI scan is planned, ensure that the Gardner Wells tongs are made of MRI-compatible graphite tong and titanium pin system. 3. Place the bed into a slight reverse Trendelenburg position if the patient’s weight is light and he or she slides to the top of the bed as weights are being applied.

What are the possible complications of Gardner Wells tongs?

The following complications can occur with application of Gardner Wells tongs: a. Skull perforation b. Injury to the temporalis muscle or temporal artery d. Infection

What are the indications for Gardner-Wells tongs?

General indications for Gardner-Wells tongs ( Figure 30-1 ): Occasionally when intraoperative traction is desired during anterior cervical diskectomy and fusion or corpectomy Figure 30-1 ▪ Gardner-Wells tongs.

Where should Gardner Wells tongs be placed?

Figure 30-1 ▪ Gardner-Wells tongs. The optimal location for pins is 1 cm above the pinna of the ear, in line with external auditory meatus and below the equator of the skull ( Figure 30-2 ). A pin that is too anterior will place the temporalis muscle and the superficial temporal artery and vein at risk.