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Pediatric emergency care · Feb 1997
Comparative StudyAngulation of the pediatric cervical spine with and without cervical collar.
- D J Treloar and M Nypaver.
- Department of Pediatrics, University of Michigan, Ann Arbor, USA.
- Pediatr Emerg Care. 1997 Feb 1;13(1):5-8.
Study ObjectiveTo determine whether semirigid cervical collars eliminate cervical spine (CS) flexion in children on back boards.DesignProspective clinical study.SettingAn urban pediatric emergency department.ParticipantsEighteen head-injured children < 8 years of age undergoing CS radiographs.InterventionsChildren were secured to back boards, and semirigid cervical collars were applied. Following CS clearance, the collar was removed, and an additional lateral film without collar was obtained. C2-C6 lateral Cobb angles were measured on both lateral films.Main ResultsMean flexion with collar was 3.4 +/- 9.9 degrees and 5.6 +/- 6.8 degrees without a collar P > 0.05ConclusionMost children < 8 years, when immobilized on back boards have flexed CSs. Semirigid cervical collars do not eliminate flexion. Further study is needed to develop and test different methods of CS immobilization as present equipment is unable to position the CS optimally.
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