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To find the best cervical traction devices for alleviating chronic neck pain, we spoke to experts, including Hansraj, an orthopedic and spinal surgeon, and Jenna Crivelli, ...
Halo-gravity traction (HGT) is a type of traction device utilized to treat spinal deformities such as scoliosis, [1] [2] congenital spine deformities, cervical instability, basilar invagination, and kyphosis. [3] It is used prior to surgical treatment to reduce the difficulty of the following surgery and the need for a more dangerous surgery.
Mechanical traction can be used for patients with cervical and lumbar spinal disorders such as cervical radiculopathy or lumbar spinal stenosis. Lumbar traction has been widely used in the clinic, previous meta-analyses have confirmed that mechanical traction in the supine position can relieve short-term pain in patients with radiculopathy. [4]
Traction can be applied by free weights on a pulley or a halo type brace. The halo brace is the most rigid cervical brace, used when limiting motion to the minimum that is essential, especially with unstable cervical fractures. It can provide stability and support during the time (typically 8–12 weeks) needed for the cervical bones to heal.
Spinal precautions including a cervical collar and rigid board have been shown to delay time to intubation, increase risk of aspiration, raise intracranial pressure and cause pain, agitation, and pressure ulcers. [4] [12] [7] A systematic review found cervical collar related skin ulcers from the devices in 7 to 38%. [16]
The routine use of a cervical collar is not recommended. [2] [3] [6] Cervical collars are also used therapeutically to help realign the spinal cord and relieve pain, [7] although they are usually not worn for long periods of time. [8] Another use of the cervical collar is for strains, sprains, or whiplash.