Spinal instability and the log-rolling maneuver

J Trauma. 1987 May;27(5):525-31. doi: 10.1097/00005373-198705000-00012.

Abstract

Immobilization of the spine is of prime concern during transportation of trauma patients to prevent neurologic compromise. In an attempt to study certain techniques of prehospital thoracolumbar spine immobilization, we radiographically evaluated the motion of the thoracolumbar spine in a volunteer with a stable spine, a cadaver with an unstable thoracolumbar spine, and a patient with a T12-L1 fracture dislocation. Both the backboard and the Scoop stretcher offered adequate stabilization for thoracolumbar spine instability. The logroll maneuver presented the greatest possibility for movement of the spine at the unstable thoracolumbar segment.

MeSH terms

  • Adult
  • Emergency Medical Services*
  • Female
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / physiopathology*
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / physiopathology*
  • Joint Instability / diagnostic imaging
  • Joint Instability / physiopathology*
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / physiopathology
  • Male
  • Radiography
  • Spinal Injuries / diagnostic imaging
  • Spinal Injuries / physiopathology*
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / physiopathology
  • Transportation of Patients*