EVALUATION OF CURRENT EXTRICATION ORTHOSES IN IMMOBILIZATION OF THE UNSTABLE CERVICAL-SPINE

被引:26
作者
MCGUIRE, RA
DEGNAN, G
AMUNDSON, GM
机构
[1] Department of Orthopedics, Naval Hospital Portsmouth, Portsmouth, VA
关键词
Cervical spine injury; Extrication orthoses; Instability;
D O I
10.1097/00007632-199015100-00015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An experiment was designed to evaluate the comparative stabilizing efficacy of several widely used semi-rigid or-thoses applied to unstable fresh cadaver cervical spines subject to load. Cadaver specimens were surgically destabilized at the C4-5 segment. Lateral radiographs of the destabilized spine were obtained before and after collar placement and after the application of a 5-pound flexion force. Data analysis employing a one-way analysis of variance showed no statistically significant difference in the Necloc’s, Philadelphia Collar’s, or the Stif- neck’s ability to stabilize the cervical spine against a deforming flexion force (P > 0.05). They all provide translational stability while allowing angular changes to occur with application of the flexion force. The Philadelphia Collar Halo System is statistically superior to all three of the aforementioned collars in prevention of both translation and sagittal rotation (P < 0.05). © Lippincott-Raven Publishers.
引用
收藏
页码:1064 / 1067
页数:4
相关论文
共 8 条
[1]  
Colachis S.C., Strohm B.R., Ganter E.L., Cervical spine motion in normal women: Radiographic study of effect of cervical collars, Arch Phys Med Rehabil, 54, pp. 161-169, (1973)
[2]  
Hartman J.T., Palumbo Frank, Hill BJ: Cineradiography of the braced normal cervical spine. A comparative study of five commonly used cervical orthoses, Clin Orthop, 109, pp. 97-102, (1975)
[3]  
Herzenberg J.E., Hensinger R.N., Dedrick D.K., Phillips W.A., Emergency transport and positioning of young children who have an injury of the cervical spine, J Bone Joint Surg, 71 A, pp. 15-22, (1989)
[4]  
Johnson J.C., Garman D.A., To find a better collar, Journal of Pre-Hospital Care, pp. 32-33, (1987)
[5]  
Johnson R.M., Hart D.L., Simmons E.F., Ramsby G.R., Southwick W.O., Cervical orthoses, J Bone Joint Surg, 59 A, pp. 332-339, (1977)
[6]  
Jones M.D., Cineradiographic studies of the collar-immobilized cervical spine, J Neurosurg, 17, pp. 633-637, (1960)
[7]  
Kaufman W.A., Lunsford T.R., Lunsford B.R., Lance L.L., Comparison of three prefabricated cervical collars, Orthotics and Prosthetics, 39, pp. 21-28, (1986)
[8]  
Secor P.R., Modification and Radiographic Analysis of a New Cervical Extrica-Tion Collar