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Cervical spine stabilization in pediatric patients: Evaluation of current techniques by Carlos Huerta; Robert Griffith; Steven M Joyce is a Medicine article available to read on EtoBox.

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We evaluated the performance of commercially available infant and pediattic cervical collars, both alone and in combination with commonly used supplemental devices (eg, Kendrick Extrication Device ®, half-spine board). One infant and I1 pediatric-sized collars were tested on mannequins representing an infant and a 5-year old child. Maximum forces generated by cooperative children were measured, then applied to the mannequins to reproduce head and neck flexion, extension, rotation, and lateral motion. Limitation of motion was measured in each direction for each collar and combination method. In general, collars of rigid plastic construction performed better than did foam types. However, when used alone none of the collars provided acceptable immobilization, with even the best allowing 17 ° flexion, 19 ° extension, 4 ° rotation, and 6 ° lateral motion. When combined with supplemental devices, immobilization to 3 ° or less in any direction could be achieved. Findings were verified using cooperative children and selected collars. Overall, combination methods were more effective than cervical collars alone (P < .00I) or supplemental devices alone (P < .05). The modified half-spine board

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Author

Carlos Huerta; Robert Griffith; Steven M Joyce

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

1987

Language

EN

Field

Medicine (Health Sciences)