EMERGENCY CERVICAL-SPINE IMMOBILIZATION

被引：57

作者：

CHANDLER, DR ^{[1
]}

NEMEJC, C ^{[1
]}

ADKINS, RH ^{[1
]}

WATERS, RL ^{[1
]}

机构：

[1] RANCHO LOS AMIGOS MED CTR,REG SPINAL CORD INJURY CARE SYST SO CALIF,7601 E IMPERIAL HIGHWAY,DOWNEY,CA 90242

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 10期

关键词：

cervical spine; immobilization; orthosis;

D O I：

10.1016/S0196-0644(05)81743-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine the effectiveness of a cervical-spine immobilization using a rigid cervical extrication collar and an Ammerman halo orthosis with and without spine boards. Design: A mixed model multivariate design with one within factor (device type) and one between factor (spine board application). Setting: Radiology suite. Type of participants: Twenty normal men with a mean age of 29.6. Interventions: Unrestrained cervical motion was compared with motion in a cervical extrication collar and an Ammerman halo orthosis with and without a spine board. Measurements: Photographic measurement of head and neck motion during maximal flexion-extension, lateral bending, and rotation. Radiologic measurement of maximal intervertebral flexion-extension. Main results: Both cervical extrication collar and Ammerman halo orthosis significantly reduced motion in all planes (P<.001) with the Ammerman halo orthosis reducing these motions significantly more (P<.001). With the use of a spine board these motions were restricted even more (P<.001). The Ammerman halo orthosis with a spine board provided the greatest immobilization, equivalent to that provided by an halo-vest. Conclusion: A rigid cervical collar and a spine board provide significantly better immobilization than the collar alone. Further immobilization is provided by an Ammerman halo orthosis.

引用

页码：1185 / 1188

页数：4

共 12 条

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