Kwan Irene, Bunn Frances
National Collaborating Centre for Women's and Children's Health, Royal College of Obstetricians and Gynecologists, London, England, UK.
Prehosp Disaster Med. 2005 Jan-Feb;20(1):47-53. doi: 10.1017/s1049023x00002144.
To evaluate the effects of spinal immobilization on healthy participants.
A systematic review of randomized, controlled trials of spinal immobilization on healthy participants.
Seventeen randomized, controlled trials compared different types of immobilization devices, including collars, backboards, splints, and body strapping. For immobilization efficacy, collars, spine boards, vacuum splints, and abdominal/torso strapping provided a significant reduction in spinal movement. Adverse effects of spinal immobilization included a significant increase in respiratory effort, skin ischemia, pain, and discomfort.
Data from this review provide the best available evidence to support the well-recognized efficacy and potential adverse effects of spinal immobilization. However, comparisons of different immobilization strategies on trauma victims must be considered in order to establish an evidence base for this practice.
评估脊柱固定对健康参与者的影响。
对关于脊柱固定对健康参与者的随机对照试验进行系统综述。
17项随机对照试验比较了不同类型的固定装置，包括颈托、背板、夹板和身体捆绑带。就固定效果而言，颈托、脊柱板、真空夹板和腹部/躯干捆绑带能显著减少脊柱活动。脊柱固定的不良反应包括呼吸费力、皮肤缺血、疼痛和不适显著增加。
本综述的数据提供了现有最佳证据，以支持脊柱固定已得到公认的效果和潜在不良反应。然而，必须考虑对创伤受害者采用不同固定策略的比较，以便为这种做法建立证据基础。
