Total motion generated in the unstable cervical spine during management of the typical trauma patient: a comparison of methods in a cadaver model

Spine
Mark PrasarnGlenn R Rechtine

Abstract

Biomechanical cadaveric study. We sought to analyze the amount of motion generated in the unstable cervical spine during various maneuvers and transfers that a trauma patient would typically be subjected to prior to definitive fixation, using 2 different protocols. From the time of injury until the spine is adequately stabilized in the operating room, every step in management of the spine-injured patient can result in secondary injury to the spinal cord. The amount of angular motion between C5 and C6, after a surgically created unstable injury, was measured using an electromagnetic motion analysis device (Polhemus Inc., Colchester, VT). A total sequence of maneuvers and transfers was then performed that a patient would be expected to go through from the time of injury until surgical fixation. This included spine board placement and removal, bed transfers, lateral therapy, and turning the patient prone onto the operating table. During each of these, we performed what has been shown to be the best and commonly used (log-roll) techniques. During bed transfers and the turn prone for surgery, there was statistically more angular motion in each plane for traditional transfer with the spine board and manually turning the patient prone...Continue Reading

References

May 1, 1987·The Journal of Trauma·R A McGuireC Watts
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Jun 1, 1983·The Journal of Trauma·S PodolskyW Ablon
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Apr 17, 2004·Spine·Gianluca Del RossiGlenn R Rechtine
Mar 13, 2008·Journal of Athletic Training·Gianluca Del RossiGlenn R Rechtine
Jun 6, 2008·Journal of Spinal Disorders & Techniques·Matthew J DiPaolaGlenn R Rechtine
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Aug 12, 2010·The Journal of Trauma·Bryan P ConradMarybeth Horodyski
Mar 15, 2011·The Journal of Emergency Medicine·MaryBeth HorodyskiGlenn R Rechtine

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Citations

Aug 21, 2012·Surgical Neurology International·Bryan P ConradGlenn R Rechtine
Sep 19, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Per Kristian HyldmoEldar Søreide
May 5, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jeronimo O N WeertsMichael Kreinest
Feb 17, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Erik E SwartzJason P Mihalik

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