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Cervical spinal cord injuries can result in tetraplegia or paraplegia, depending on severity. [6] Of spine injuries, only 0.01% [7] are unstable and require intervention (either surgery or a spinal orthosis). [8] Some authors argue that use of spinal precautions is controversial because benefit is unclear and there are significant drawbacks ...
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.
Precautions. The Dix–Hallpike maneuver places a degree of stress on the patient's lower back; therefore, a cautious approach must be taken with patients who are suffering from back pain. [7] Severe respiratory or cardiac problems may not allow a patient to tolerate the maneuver.
If cervical spine injury is a concern and/or the patient is immobilized on a long spine board and/or with a cervical collar; the jaw-thrust maneuver can be used instead. If the patient is in danger of aspirating ; he or she should be placed in the recovery position or advanced airway management should be used.
A spinal board, [4] is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. [5] They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers.
Myelomalacia is a pathological term referring to the softening of the spinal cord. [1] Possible causes of myelomalacia include cervical myelopathy, hemorrhagic infarction, or acute injury, such as that caused by intervertebral disc extrusion.
Another use of the cervical collar is for strains, sprains, or whiplash. [4] [5] If pain is persistent, the collar might be required to remain attached to help in the healing process. [5] [7] A person may also need a cervical collar, or may require a halo fixation device to support the neck during recovery after surgery such as cervical spinal ...
Cervical spinal stenosis is one of the most common forms of spinal stenosis, along with lumbar spinal stenosis (which occurs at the level of the lower back instead of the neck). Thoracic spinal stenosis, at the level of the mid-back, is much less common. [2] Cervical spinal stenosis can be far more dangerous by compressing the spinal cord.