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Fracture of the cervical spine (left red arrow showing vertebral body fracture) treated with open reduction and internal fixation (ORIF) (hardware seen on the right) Patients with spinal cord injury due to trauma tend to have other life-threatening traumatic injuries or complications of spinal cord injury such as neurogenic shock [ 12 ] that ...
The cervical collar was invented in 1966 by George Cottrell during the Vietnam war as a way to provide neck immobilization in American soldiers with potential unstable neck injuries. [15] Its use in the prehospital setting in the United States was popularized by orthopedic surgeon, Dr. JD Farrington.
Clearing the cervical spine is the process by which medical professionals determine whether cervical spine injuries exist, mainly regarding cervical fracture. It is generally performed in cases of major trauma. This process can take place in the emergency department or in the field by appropriately trained EMS personnel.
Immobilization should remain in place until movement of the head and neck is proven safe. In the presence of severe head trauma, cervical fracture must be presumed until ruled out. Immobilization is imperative to minimize or prevent further spinal cord injury. The only exceptions are when there is imminent danger from an external cause, such as ...
a cervical collar with occipital padding as needed; side head supports, such as a rolled blanket or head blocks (head immobilizer) made specifically for this purpose, used to avoid the lateral rotation of the head; straps to secure the patient to the long spine board, and tape to secure the head
Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2] Skin traction rarely causes fracture reduction, but reduces pain and maintains the length of the bone. [2] Dunlop's traction – humeral fractures in children; Russell's traction; Halo-gravity traction
Immobilization equipment A long backboard, also called a long spine board (LSB), is a reinforced, firm surface with several hand and strap holes along its lateral edges. [ 4 ] Other immobilization equipment consists of straps, or cravats, and cervical immobilization devices (CIDs).
In a study based in Norway, 60% of reported cervical fractures came from falls and 21% from motor-related accidents. [3] According to the Agency for Healthcare Research and Quality (AHRQ), the group under the highest risk of C2 fractures are elderly people within the age group of 65–84 (39.02%) at risks of falls (61%) or motor accidents (21% ...