Name of the Procedure:

Common Name: Cervical Collar
Technical Term: Cervical, Semi-Rigid, Adjustable (Plastic Collar) – HCPCS Code L0140

Summary

A cervical semi-rigid adjustable plastic collar is a neck brace designed to provide support and immobilization of the cervical spine. It is commonly used to treat neck injuries, prevent further injury, and assist in the healing process.

Purpose

This procedure is aimed at addressing:

• Neck injuries such as fractures and dislocations.
• Post-operative recovery following cervical spine surgery.
• Conditions that require cervical immobilization such as severe cervical sprain or strain.

The goal is to stabilize the cervical spine, reduce pain, prevent further injury, and facilitate healing.

Indications

• Acute neck pain following trauma.
• Diagnosed cervical spine fractures.
• Post-operative immobilization.
• Severe cervical sprain or strain.
• Certain degenerative or inflammatory conditions of the cervical spine.

Preparation

• Typically, no special preparation such as fasting is required.
• Patients should inform their healthcare provider about any existing medical conditions and medications.
• A physical examination or imaging studies (e.g., X-ray, MRI, CT scan) may be required to assess the extent of injury or condition.

Procedure Description

1. Assessment: A healthcare professional assesses the patient’s neck and chooses the appropriate size and type of collar.
2. Fitting: The collar is placed around the patient’s neck. Adjustments are made to ensure it fits snugly yet comfortably, providing the necessary support.
3. Instruction: The patient and/or caregivers are educated on how to wear, adjust, and care for the collar properly.
4. Follow-Up: Scheduled follow-up appointments to monitor the effectiveness and make any necessary adjustments.

Tools/Equipment: Semi-rigid plastic cervical collar, straps for adjustment.
Anesthesia: Typically, no anesthesia or sedation is required.

Duration

The fitting and adjustment process usually takes around 15-30 minutes.

Setting

This procedure is generally performed in an outpatient clinic, emergency room, or hospital setting.

Personnel

• Primary physician or specialist (e.g., orthopedic or neurosurgeon)
• Nurse or medical assistant
• Orthotist (specialist in making and fitting orthopedic braces)

Risks and Complications

• Skin irritation or pressure sores.
• Discomfort or pain from prolonged use.
• Improper fit leading to inadequate immobilization or excessive restriction.

Benefits

• Immediate support and stabilization of the cervical spine.
• Reduction in pain and prevention of further injury.
• Promotes healing and proper alignment of the cervical spine.

Recovery

• Regular skin checks are recommended to prevent irritation.
• Follow healthcare provider’s instructions regarding duration of use and activity restrictions.
• Recovery time varies based on the underlying condition but generally ranges from weeks to months.
• Scheduled follow-up appointments for monitoring and adjustments.

Alternatives

• Soft cervical collar: offers less support but may be more comfortable for minor injuries.
• No immobilization: suitable for mild conditions, relying instead on physical therapy and pain management.
• Surgical intervention: for severe conditions where immobilization alone is insufficient.

Pros and Cons:

• A semi-rigid collar provides more support compared to a soft collar but can be less comfortable.
• Surgery offers a permanent solution for some conditions but involves more risks and longer recovery.

Patient Experience

• Initial discomfort may occur as the patient gets used to wearing the collar.
• Sore spots or pressure points should be reported to the healthcare provider.
• Pain management may involve over-the-counter pain relief.
• Comfort measures include proper fit adjustment and wearing the collar as instructed.

Patients are encouraged to follow their healthcare provider's advice to maximize the collar's benefits and minimize risks or complications.