Name of the Procedure:

Cervical, Multiple Post Collar, Occipital/Mandibular Supports, Adjustable (L0180)

Summary

This procedure involves fitting a specially designed cervical collar that includes multiple posts and supports for the occipital (back of the head) and mandibular (jaw) areas. The collar is adjustable to ensure a proper fit and adequate support to stabilize the neck and head.

Purpose

The adjustable cervical collar is used to provide immobilization and stabilization of the cervical (neck) spine. It is commonly used in cases of cervical spine injuries, post-surgical recovery, or for certain neck conditions that require stabilization to promote healing or reduce pain.

Indications

• Symptoms: Neck pain, stiffness, or tenderness; reduced neck mobility; headache related to cervical spine issues.
• Conditions: Cervical spine fractures, cervical spondylosis, post-operative care following cervical spine surgery, whiplash injuries, cervical radiculopathy.

Preparation

• Pre-procedure Instructions: No specific fasting or medication adjustments are generally required for fitting a cervical collar.
• Assessments: A physical examination and imaging studies (e.g., X-ray, MRI) to evaluate the condition of the cervical spine.

Procedure Description

1. Fitting the Collar:

   • The healthcare provider measures the patient's neck to select the appropriate collar size.
   • The collar is placed around the neck, ensuring that the occipital and mandibular supports are correctly positioned.
   • The multiple posts are adjusted to ensure a snug fit that provides optimal support and immobilization.

2. Tools and Equipment:

   • Adjustable cervical collar with multiple posts and supports.
   • Measuring tape or similar tool.

3. Anesthesia: Not applicable as the procedure is non-invasive.

Duration

The fitting process typically takes about 15-30 minutes.

Setting

The procedure can be performed in an outpatient clinic, orthopedic office, or hospital setting.

Personnel

• Orthopedic surgeon or specialized healthcare provider.
• Nurse or medical assistant.

Risks and Complications

• Common Risks: Skin irritation or pressure sores if the collar is not fitted properly.
• Rare Risks: Discomfort or pain due to improper adjustment, allergic reactions to collar material.

Benefits

• Expected Benefits: Stabilization of the cervical spine, reduced pain, and prevention of further injury.
• Timeline: Benefits are often realized immediately upon proper fitting of the collar.

Recovery

• Post-Procedure Care: Regular adjustments and checks to ensure the collar remains properly fitted. Skin care to prevent irritation.
• Recovery Time: Varies depending on the underlying condition but the collar may need to be worn for several weeks to months.
• Restrictions: Limited neck movement; follow-up appointments for progress assessment and collar adjustments.

Alternatives

• Other Options: Soft cervical collars, physical therapy, pain management medications.
• Pros and Cons: Soft collars provide less support but may be more comfortable; physical therapy requires active participation and can be time-consuming; medications address symptoms but do not provide structural support.

Patient Experience

• During the Procedure: Minimal discomfort during fitting, though some pressure may be felt as the collar is adjusted.
• After the Procedure: Initial discomfort while getting used to the collar. Pain management measures include over-the-counter pain medications and advice on skincare to prevent irritation. Regular follow-ups to ensure proper fit and comfort.