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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.
Spinal precautions, also known as spinal immobilization and spinal motion restriction, are efforts to prevent movement of the bones of the spine in those with a risk of a spine injury. [1] This is done as an effort to prevent injury to the spinal cord [ 1 ] in unstable spinal fractures . [ 2 ]
Mechanical traction can be used for patients with cervical and lumbar spinal disorders such as cervical radiculopathy or lumbar spinal stenosis. Lumbar traction has been widely used in the clinic, previous meta-analyses have confirmed that mechanical traction in the supine position can relieve short-term pain in patients with radiculopathy. [4]
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).
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
Alternative immobilization techniques offer non-cast methods for stabilizing injuries, providing options that may be more comfortable, adjustable, or suitable for specific conditions. While traditional casts are commonly used for fractures and soft tissue injuries, alternatives are increasingly being utilized to address various patient needs ...
Electromyography and imaging of the cervical spine can help to differentiate cervical radiculopathy from carpal tunnel syndrome if the diagnosis is unclear. [5] Carpal tunnel syndrome is sometimes applied as a label to anyone with pain, numbness, swelling, or burning in the radial side of the hands or wrists.
When a single spinal nerve root is compressed, the resulting clinical outcome is termed radiculopathy, and is usually labeled according to the specific nerve root compressed (hence compression of the nerve root exiting the spinal column below the left-sided pedicle of the L5 vertebra will be diagnosed as "left L5 radiculopathy").