Complications Due to Inadequate Cervical Spinal Immobilization

  • Luca DenaroEmail author
  • Domenico D'Avella
  • Nicola Maffulli
  • Vincenzo Denaro

Adequate immobilization of the cervical spine is an essential part of the postoperative care of the patient [1]. Orthoses are external applied devices that offer a safe way to immobilize the cervical spine, to increase fusion success, to decrease the rate of graft migration and instrumentation failure, to relieve postoperative pain, to give the patient a sense of security and comfort after surgery, and to improve the postoperative scar [2]. Historically, patients undergoing cervical spine surgery were immobilized in plaster, which was regarded as the only external immobilization device able to provide true postoperative immobilization of the cervical spine. The introduction of the internal fixation has provided a useful tool to increase fusion rates, maintain alignment, and decrease subsidence and dislodgement of the graft. Internal fixation acts as an internal brace, limiting motion between the graft and vertebral bodies, decreasing axial forces, reducing the tendency for graft failure.

Recent decades have been characterized by great advances in material engineering, which deeply changed the bracing industry. Today, a large variety of different orthoses for the cervical spine are available, and new thermoplastic, so-called breathable, lightweight, durable, magnetic resonance imaging compatible materials are used for the production of cervical spinal orthoses. They are commonly named based on the locality of design (Philadelphia, Miami, etc.) or based on the name of their inventor (Schanz, Thomas, Guilford, etc.).


Cervical Spine Pressure Ulcer Cervical Collar Cervical Spine Surgery Skin Breakdown 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Luca Denaro
    • 1
    Email author
  • Domenico D'Avella
    • 1
  • Nicola Maffulli
    • 3
  • Vincenzo Denaro
    • 2
  1. 1.Department of NeuroscienceUniversity of PaduaPaduaItaly
  2. 2.Department of Orthopaedic and Trauma SurgeryCampus Bio-Medico UniversityRomeItaly
  3. 3.Barts and The London School of Medicine and DentistryMile End HospitalLondonEngland

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