Motion in the unstable thoracolumbar spine when spine boarding a prone patient.

The Journal of Spinal Cord Medicine
Bryan P ConradMaryBeth Horodyski

Abstract

Previous research has found that the log roll (LR) technique produces significant motion in the spinal column while transferring a supine patient onto a spine board. The purpose of this project was to determine whether log rolling a patient with an unstable spine from prone to supine with a pulling motion provides better thoracolumbar immobilization compared to log rolling with a push technique. A global instability was surgically created at the L1 level in five cadavers. Two spine-boarding protocols were tested (LR Push and LR Pull). Both techniques entailed performing a 180° LR rotation of the prone patient from the ground to the supine position on the spine board. An electromagnetic tracking device registered motion between the T12 and L2 vertebral segments. Six motion parameters were tracked. Repeated-measures statistical analysis was performed to evaluate angular and translational motion. Less motion was produced during the LR Push compared to the LR Pull for all six motion parameters. The difference was statistically significant for three of the six parameters (flexion-extension, axial translation, and anterior-posterior (A-P) translation). Both the LR Push and LR Pull generated significant motion in the thoracolumbar...Continue Reading

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Citations

Aug 21, 2012·Surgical Neurology International·Bryan P ConradGlenn R Rechtine
Mar 10, 2016·Acta Anaesthesiologica Scandinavica·P K HyldmoE Søreide
Mar 24, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brian M ClemencyHeather A Lindstrom
Nov 5, 2015·The Journal of Emergency Medicine·Dewayne N DuBoseMaryBeth Horodyski
Jun 12, 2016·Emergency Medicine Journal : EMJ·Megha Singh TveitBiswadev Mitra
Aug 21, 2013·Journal of Athletic Training·Bryan P ConradMarybeth H Horodyski
May 5, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jeronimo O N WeertsMichael Kreinest
Mar 14, 2020·Journal of Biophotonics·Pranita PradhanThomas W Bocklitz
Oct 22, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Andreas GatherMichael Kreinest

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