Cervical spine immobilisation in the elderly: a literature review

British Journal of Neurosurgery
George Edward PeckMichael Fertleman

Abstract

Developed populations are ageing rapidly and by 2040, approximately 1 in 4 adults will be over 65 years of age. This is resulting in higher incidence of traumatic injury in older patients. Cognitive and physical comorbidities in this group can pose significant challenges. Due to mechanisms of injury and pre-existing degenerative spinal disease, cervical spine fractures are particularly prevalent in elderly patients. These are associated with significant morbidity and mortality. In this literature review we examine current evidence surrounding the use of cervical spine immobilisation in elderly patients in the pre-hospital and emergency department setting and also as a treatment option for cervical spine fractures. We explore evidence surrounding the complications that can arise from cervical spine immobilisation, including the development of pressure sores, raised intracranial pressure, dysphagia, breathing difficulties, delirium, compliance issues, mobility and functional outcome.

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Citations

Mar 7, 2019·Der Unfallchirurg·S ScheidtC Jacobs
Jul 18, 2019·Emergency Medicine Journal : EMJ·Julia Gamston
Mar 30, 2019·Clinical Spine Surgery : a Spine Publication·Lauren LeddyJoseph S Butler
Nov 28, 2020·Internal and Emergency Medicine·Joshua BaxterThang Sieu Han
May 22, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Taiwo D KelaniAngela E Kedgley
Aug 5, 2021·Emergency Medicine Journal : EMJ·Sandy BenchetritEdward Carlton
Sep 9, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Philipp RaischMichael Kreinest

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