Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

11.4K
The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
11.4K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Structural and Physicochemical Features of Oral PROTACs.

Journal of medicinal chemistry·2024
Same author

Compulsory treatment of drug users in Asia: designed to torture?

International journal of prisoner health·2024
Same author

NerveTracker: a Python-based software toolkit for visualizing and tracking groups of nerve fibers in serial block-face microscopy with ultraviolet surface excitation images.

Journal of biomedical optics·2024
Same author

Acceptable performance of blood biomarker tests of amyloid pathology - recommendations from the Global CEO Initiative on Alzheimer's Disease.

Nature reviews. Neurology·2024
Same author

Understanding the important characteristics of neighbourhoods to facilitate ageing in place and longevity.

Australasian journal on ageing·2024
Same author

Diversity, resistance and vector competence of endophilic anophelines from southern Ghana.

MalariaWorld journal·2024

Related Experiment Video

Updated: Mar 14, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.6K

Cervical spine immobilization in the elderly population.

Prashanth J Rao1, Kevin Phan2, Ralph J Mobbs3

  • 1NeuroSpine Surgery Research Group (NSURG), Sydney, Australia;; Royal North Shore Hospital (RNSH), Sydney, Australia;; University of New South Wales, Sydney, Australia;

Journal of Spine Surgery (Hong Kong)
|September 30, 2016
PubMed
Summary

The standard neutral position for cervical spine immobilization may be inappropriate for elderly patients due to common degenerative changes. Individual assessment is recommended for optimal spinal injury management in this demographic.

Keywords:
Cervical spinechin-brow horizontalelderlyimmobilizationtrauma

More Related Videos

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

18.4K
C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
12:25

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

4.8K

Related Experiment Videos

Last Updated: Mar 14, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.6K
A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

18.4K
C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
12:25

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

4.8K

Area of Science:

  • Geriatric Trauma Care
  • Spinal Injury Management
  • Radiological Assessment

Background:

  • Cervical spine immobilization is critical in suspected spinal injuries, typically using a 'neutral position'.
  • Elderly patients often exhibit increased thoracic kyphosis and reduced cervical lordosis, potentially compromising the standard neutral position.
  • This study investigates alternative immobilization strategies for older adults with suspected cervical spine injuries.

Purpose of the Study:

  • To evaluate the appropriateness of the standard 'neutral position' for cervical spine immobilization in elderly trauma patients.
  • To introduce and assess a novel measurement, the 'chin-brow horizontal' angle, for bedside assessment in immobilized patients.
  • To determine if patient-specific factors necessitate modified immobilization techniques in geriatric populations.

Main Methods:

  • An audit of pan-scan CT scans from major trauma patients over 65 years old was conducted over six months.
  • The 'chin-brow horizontal' angle was measured using scout films, with the gantry as a zero-degree reference.
  • Measurements were independently assessed by two senior spine surgeons to ensure reliability.

Main Results:

  • Fifty-eight elderly patients (average age 77.6 years) were included in the study.
  • The 'chin-brow horizontal' angle showed significant variation, ranging from +15.8° (flexion) to -30.5° (extension), with a mean of -12.4°.
  • High interobserver correlation (0.997) confirmed the reliability of the novel measurement.

Conclusions:

  • The routine 'neutral position' may not be suitable for cervical spine immobilization in elderly patients due to common degenerative changes.
  • Individualized assessment, considering fracture morphology, is crucial for optimizing immobilization and preventing complications.
  • The 'chin-brow horizontal' angle offers a practical bedside tool for assessing cervical alignment in immobilized trauma patients.