| Popis: |
Cervical fractures are highly prevalent in older adults, commonly occurring following a fall from a standing height. Atlanto-axial segment (C2 segment) is the most commonly affected, followed by sub-axial cervical spine (C5, 6 and 7). The management of such injuries is complex and often limited by systemic factor including delirium, cognitive impairments and intolerance to immobilization. Most fractures of the cervical spine are considered stable and are treated with a rigid collar. In fact, most trauma guidelines recommend the use of cervical collars following a fracture. However, there are significant adverse events to the long-term use of cervical collars including the development of pressure ulcers, impaired respiratory function and dysphasia. In the frail elderly, immobilization has been associated with aspiration and respiratory failure. Given the high incidence of adverse events it is imperative that we identify the best immobilization protocols that may lead to better overall outcomes. Thus, the objectives of this scoping review will be to collect and summarize information from original studies on available cervical immobilization protocols following a cervical fracture, and when possible collect information on the effectiveness and harms of different protocols. |
