Name of the Procedure:

• Common Name: Cervical Collar
• Medical Term: L0174 Cervical, Collar, Semi-Rigid, Thermoplastic Foam, Two Piece with Thoracic Extension, Prefabricated, Off-the-shelf

Summary

This procedure involves the application of a semi-rigid cervical collar made from thermoplastic foam. It is a two-piece device that offers support for both the cervical spine and the upper thoracic spine. The collar is prefabricated and available off-the-shelf, meaning it can be quickly obtained and used without custom fitting.

Purpose

The cervical collar is designed to:

• Immobilize and support the cervical and upper thoracic spine.
• Limit movement to promote healing and prevent further injury.
• Manage pain in the neck and upper back regions.

Indications

• Acute cervical spine injuries such as fractures or sprains.
• Post-operative stabilization following spinal surgery.
• Chronic conditions such as cervical spondylosis or spinal stenosis.

Preparation

• No special preparation is typically required.
• Patients may need to remove jewelry or clothing that could interfere with proper fitting.
• Diagnostic imaging like X-rays or MRIs might be needed to evaluate the spine before application.

Procedure Description

1. The healthcare provider selects the correct size of the cervical collar.
2. The patient is positioned comfortably, usually sitting or lying down.
3. The front and back pieces of the collar are placed around the patient's neck and thoracic region.
4. The two pieces are securely fastened together with Velcro or similar straps.
5. The fit is checked and adjusted for comfort and effectiveness.
   • Tools/Equipment: Semi-rigid thermoplastic foam collar, Velcro straps.
   • Anesthesia: Not required.

Duration

• The procedure typically takes 5-10 minutes to complete.

Setting

• The application is usually performed in a hospital, outpatient clinic, or at the bedside.

Personnel

• A nurse, physician, or trained medical technician usually applies the collar.

Risks and Complications

• Skin irritation or pressure sores from prolonged use.
• Discomfort or difficulty swallowing.
• Rarely, potential for improper fitting leading to insufficient immobilization.

Benefits

• Immediate support and stabilization of the cervical spine.
• Pain relief and prevention of further injury.
• Enhanced healing process for cervical and thoracic injuries.

Recovery

• Patients may need to wear the collar for several days to weeks, depending on their condition.
• Regular checks and adjustments to ensure correct fit and comfort.
• Follow-up visits might be required to monitor progress and determine when the collar can be safely removed.

Alternatives

• Soft cervical collars, which provide less support but more comfort.
• Custom-fitted rigid collars for more severe cases.
• Physical therapy and pain management without a collar.

Patient Experience

• Patients may feel restricted in movement and experience some discomfort.
• Pain management strategies can include over-the-counter pain relievers and adjustments to daily activities.
• Ongoing communication with healthcare providers to address any issues with the collar.