Asked by: Zdravko Ruzyck
medical health first aid

What is spinal immobilization?

Last Updated: 7th March, 2020

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Spinal immobilisation involves the use of a number of devices and strategies to stabilise the spinal column after injury and thus prevent spinal cord damage. The practice is widely recommended and widely used in trauma patients with suspected spinal cord injury in the pre-hospital setting.

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Also, what is spinal immobilization and why is it used?

Spinal Immobilization in Trauma Patients. LBBs are used to help prevent spinal movement and facilitate extrication of patients. Cervical collars (C-Collars) are used to help prevent movement of the cervical spine and often are combined with lateral head blocks and straps.

Also, what is spinal motion restriction? Previously, the terms spinal immobilization and restriction have both been used to describe the act of preventing movement of the spine. Spinal motion restriction is defined as attempting to maintain the spine in anatomic alignment and minimizing gross movement irrespective of adjuncts or devices.

One may also ask, what is cervical spine immobilization?

Immobilization of the cervical spine is a cornerstone of spinal injury management. In the context of suspected cervical spine injury, patients are immobilized in a 'neutral position' based on the head and trunk resting on a flat surface.

Why do we apply a cervical collar to a patient with a suspected spinal injury?

The application of a semi-rigid cervical collar prevents potentially harmful movements of the cervical spine. Immobilisation of the cervical spine is a relatively harmless measure, and can therefore be applied to a large number of patients with a relatively low risk of injury "as a precaution".

Related Question Answers

Xuefeng Jaular

Professional

How do you do spinal immobilization?

How to Implement Spinal Motion Immobilization
  1. Grasp the patient's head and shoulders from a position at the head of the bed, physically keeping the spine aligned with the head.
  2. While maintaining spinal alignment, have an assistant apply a cervical collar without lifting the head off the bed.

Rie Kriti

Professional

What is the most common cause of spinal injury?

The most common causes of spinal cord injuries in the United States are: Motor vehicle accidents. Auto and motorcycle accidents are the leading cause of spinal cord injuries, accounting for almost half of new spinal cord injuries each year. Falls.

Argelio Missaoui

Professional

What is the purpose of spine boarding?

A spinal board, 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. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers.

Antonino Arpal

Explainer

When should you immobilize?

Patients who should have spinal immobilization include the following:
  1. Spinal tenderness or pain.
  2. Blunt trauma.
  3. Patients with an altered level of consciousness.
  4. Neurological deficits.
  5. Obvious anatomic deformity of the spine.
  6. High energy trauma in a patient intoxicated from drugs, alcohol, or a distracting injury.

Ferdaus Miramon

Explainer

What is a scoop stretcher used for?

The scoop stretcher (or clamshell, Roberson orthopedic stretcher, or just scoop) is a device used specifically for moving injured people. It is most frequently used to lift people who may have a spinal cord injury from the ground, either due to unconsciousness or in order to maintain stability in the case of trauma.

Adelfa Gam

Explainer

Does spinal immobilization help patients?

Conclusion. Routine spinal immobilization poses no benefit to the vast majority of our patients and may indeed harm a significant number of them. The ability of paramedics to effectively clear c-spine in the field has been proven in numerous studies.

Vinita Torondel

Pundit

What is Backboarding?

Medical Definition of backboard
: a stiff board on which an injured person and especially one with neck or spinal injuries is placed and immobilized in order to prevent further injury during transport.

Azzeddine Herry

Pundit

What are cervical spine precautions?

Injuries that are high in the cervical cord can prevent a patient from being able to breathe. Patients are cared for using Spinal Precautions. Bending or twisting the neck could suddenly cause a shift in the alignment of the neck that could injure the cord.

Enza Reglero

Pundit

What is a distracting injury?

Distracting injury is part of the clinical assessment for CSI when using NEXUS criteria. It was vaguely defined in that study on purpose but is generally thought to include severe extremity fractures, degloving injuries, severe burns, etc.

Cindie Gree

Pundit

Why neck collar is used?

Cervical/neck collars are commonly used by patients who have had a surgical intervention of the cervical spine, to immobilise the neck. It is also used for the treatment of neck pain, caused by acute trauma or chronic pain.

Garth Jarmouni

Teacher

What is AC spine injury?

High-Cervical Nerves (C1 – C4)
Most severe of the spinal cord injury levels. Paralysis in arms, hands, trunk and legs. Patient may not be able to breathe on his or her own, cough, or control bowel or bladder movements. Ability to speak is sometimes impaired or reduced.

Laree Pinart

Teacher

When should a cervical collar be used?

A cervical collar, also known as a neck brace, is a medical device used to support a person's neck. It is also applied by emergency personnel to those who have had traumatic head or neck injuries, and can be used to treat chronic medical conditions.

Kadija Bangartz

Teacher

Do C collars work?

There is no evidence that C-collars restrict harmful movement. C-collar use may result in harm to patients and pain. Most literature on the cervical collar discusses the non-utility of the cervical collar. There has never been any evidence that suggests that the C-collar benefits our patients in any way.

Forest Piccini

Reviewer

How do you secure a patient to a backboard?

Place hands in appropriate position, then roll patient onto backboard as one unit. Position patient in centre of backboard. Secure body to backboard using appropriate strapping devices in correct sequence (chest, hips, feet). Pad any natural hollows, then secure patient's head to backboard using appropriate equipment.

Saada Ovin

Reviewer

What is the pathophysiology of spinal cord injury?

The pathophysiology of spinal cord injury can be categorized as acute impact or compression. Spinal cord compression occurs when a mass impinges on the spinal cord causing increased parenchymal pressure. The tissue response is gliosis, demyelination, and axonal loss.

Marcolina Gmur

Reviewer

How do you treat a suspected spinal injury?

If you suspect someone has a spinal injury:
  1. Get help. Call 911 or emergency medical help.
  2. Keep the person still. Place heavy towels or rolled sheets on both sides of the neck or hold the head and neck to prevent movement.
  3. Avoid moving the head or neck.
  4. Keep helmet on.
  5. Don't roll alone.

Denise ViƱets

Reviewer

What are lumbar spine precautions?

Spinal precautions, also known as spinal immobilization and spinal motion restriction, are efforts to prevent movement of the spine in those with a risk of a spine injury. This is done as an effort to prevent injury to the spinal cord. It is estimated that 2% of people with blunt trauma will have a spine injury.

Yaneth Uslenghi

Supporter

Should you sleep in a cervical collar?

Sleeping with a Cervical Collar
Patients will need to sleep with the cervical collar on, unless their doctor advises them otherwise.

Melanie De Las Casas

Supporter

What are back braces made of?

A flexible brace is made from an elastic cotton/nylon material and is most commonly used to support your back when lifting, improve posture, or relieve low back pain. This brace is similar to a girdle or corset. Rigid braces are made from molded plastic in two pieces—a front and back piece—that fasten together.