Flexion-Distraction Contraindication includes which of the following?

Flexion-Distraction Contraindication includes which of the following?

• A. All of the above
• B. Acute fracture
• C. Cauda equina
• D. Instability (e.g., ankylosing spondylitis)

Answer: (A)

Flexion-distraction should not be used when the spine is damaged or unstable. An acute fracture means the bones are already compromised, and applying distraction could widen the fracture or displace fragments. Cauda equina indicates significant nerve compression; moving the spine at this time risks worsening neurological injury. Spinal instability, as seen in conditions like ankylosing spondylitis, means the segments don’t maintain stable alignment under force, raising the chance of injury or deterioration. Because each scenario represents a situation where this technique could cause harm, all of the above are contraindications. If any of these are present or suspected, the safe course is to avoid flexion-distraction and pursue appropriate evaluation and alternative treatment.

Flexion-distraction should not be used when the spine is damaged or unstable. An acute fracture means the bones are already compromised, and applying distraction could widen the fracture or displace fragments. Cauda equina indicates significant nerve compression; moving the spine at this time risks worsening neurological injury. Spinal instability, as seen in conditions like ankylosing spondylitis, means the segments don’t maintain stable alignment under force, raising the chance of injury or deterioration. Because each scenario represents a situation where this technique could cause harm, all of the above are contraindications. If any of these are present or suspected, the safe course is to avoid flexion-distraction and pursue appropriate evaluation and alternative treatment.