Neonatal Halter Traction for Severe Cervical Spine Deformity: A Technical Case Report With 2-Year Follow-up

被引:1
|
作者
Menger, Richard P. [1 ,2 ,8 ]
Beauchamp, Eduardo C. [3 ]
Alexiades, Nikita [4 ]
Szpilka, Ryan T. [5 ]
Anderson, Richard C. E. [6 ,7 ]
机构
[1] Univ S Alabama, Dept Neurosurg, Mobile, AL USA
[2] Univ S Alabama, Dept Polit Sci, Mobile, AL USA
[3] Twin Cities Spine Ctr, Minneapolis, MN USA
[4] Univ Arizona, Dept Neurosurg, Phoenix, AZ USA
[5] East Coast Orthot, New York, NY USA
[6] Neurosurg New Jersey, Ridgewood, NJ USA
[7] NYU, Dept Neurosurg, Grossman Sch Med, New York, NY USA
[8] USA Hlth, Dept Neurosurg, 1601 Ctr St Suite 2D, Mobile, AL 36532 USA
关键词
Cervical kyphosis; Congenital scoliosis; Newborn traction; Traction; CRANIOVERTEBRAL JUNCTION;
D O I
10.1227/ons.0000000000000651
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND AND IMPORTANCE: Although rare, severe congenital cervical spine deformity can present with limited treatment options and potentially catastrophic outcomes. The use of halter traction for cervical deformity correction in children has been well described, but it has not been previously reported in the management of neonates.CLINICAL PRESENTATION: A baby girl born at full-term gestation presented with generalized hypotonia, bilateral club feet, and significant right upper extremity weakness. Imaging demonstrated a severe congenital swan-neck deformity with spinal cord compression. Halter traction was initiated in the neonatal intensive care unit with subsequent neurological and radiographic improvement. After 7 days, traction was discontinued and she was placed in a custom -fitted cervico-thoracic orthosis. At 2 years of follow-up, she remains neurologically stable with maintained cervical alignment.CONCLUSION: Halter traction followed by external bracing is technically possible in the neonatal period. For children with severe cervical congenital deformity, this technique can reduce spinal cord compression, provide significant deformity correction, and delay the need for definitive operative spinal stabilization.
引用
收藏
页码:E454 / E457
页数:4
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