| Online-Ressource |
Verfasst von: | Jung, Matthias [VerfasserIn]  |
| Grützner, Paul Alfred [VerfasserIn]  |
| Schneider, Niko [VerfasserIn]  |
| Keil, Holger [VerfasserIn]  |
| Kreinest, Michael [VerfasserIn]  |
Titel: | Cervical spine immobilization in patients with a geriatric facial structure |
Titelzusatz: | the influence of a geriatric mandible structure on the immobilization quality using a cervical collar |
Verf.angabe: | Matthias K. Jung, MD, Paul A. Grützner, MD, Niko R.E. Schneider, MD, Holger Keil, MD and Michael Kreinest, MD, PhD |
E-Jahr: | 2021 |
Jahr: | June 10, 2021 |
Umfang: | 6 S. |
Fussnoten: | Gesehen am 25.10.2021 |
Titel Quelle: | Enthalten in: Geriatric Orthopaedic Surgery & Rehabilitation |
Ort Quelle: | Thousand Oaks, Calif. [u.a.] : Sage Publ., 2010 |
Jahr Quelle: | 2021 |
Band/Heft Quelle: | 12(2021), Seite 1-6 |
ISSN Quelle: | 2151-4593 |
Abstract: | Introduction:Demographic changes have resulted in an increase in injuries among geriatric patients. For these patients, a rigid cervical collar is crucial for immobilizing the cervical spine. However, evidence suggests that patients with a geriatric facial structure require a different means of immobilization than patients with an adult facial structure. This study aimed to analyze the remaining motion of the immobilized cervical spine based on facial structure.Materials and Methods:This study was performed on 8 fresh human cadavers. Facial structure was evaluated via ascertaining the mandibular angle by computer tomography. A mandibular angle below 130°, belongs to the adult facial structure group (n = 4) and a mandibular angle above 130°, belongs to the geriatric facial structure group (n = 4). The flexion and lateral bending of the immobilized cervical spine were analyzed in both groups using a wireless motion tracker system.Results:A flexion of up to 19.0° was measured in the adult facial structure group. The mean flexion in the adult vs. geriatric facial structure groups were 14.5° vs. 6.5° (ranges: 9.0-19.0 vs. 5.0-7.0°), respectively. Thus, cervical spine motion was (p = 0.0286) significantly more reduced in the adult facial structure group. No (p = 0.0571) significant difference was oberserved in the mean lateral bending of the adult facial structure group (14.5°) compared to the geriatric facial structure group (7.5°).Conclusion:Emergency medical service personnel should therefore follow current guidelines and recommendations and perform cervical spine immobilization with a cervical collar, including in patients with a geriatric facial structure. |
DOI: | doi:10.1177/21514593211021824 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1177/21514593211021824 |
| Volltext: https://journals.sagepub.com/doi/10.1177/21514593211021824 |
| DOI: https://doi.org/10.1177/21514593211021824 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | cervical collar |
| cervical spine |
| geriatric facial structure |
| immobilization quality |
K10plus-PPN: | 1775123618 |
Verknüpfungen: | → Zeitschrift |
Cervical spine immobilization in patients with a geriatric facial structure / Jung, Matthias [VerfasserIn]; June 10, 2021 (Online-Ressource)