Name of the Procedure:

Cervical, Multiple Post Collar, Occipital/Mandibular Supports, Adjustable Cervical Bars (SOMI, Guilford, Taylor Types)

Summary

This procedure involves fitting a specialized cervical collar that provides support to the neck by stabilizing the occipital (back of the head) and mandibular (jaw) areas. It uses adjustable cervical bars and is commonly known by types such as SOMI, Guilford, and Taylor supports.

Purpose

Medical Conditions:

• Neck injuries
• Post-surgical neck stabilization
• Severe neck pain from conditions like cervical spondylosis
• Cervical fractures

Goals:

• Stabilize and immobilize the cervical spine
• Reduce pain and prevent further injury
• Promote healing following surgery or injury

Indications

• Severe neck pain
• Neck injuries, including fractures
• Post-operative stabilization after cervical spine surgery
• Conditions necessitating immobilization of the cervical spine

Preparation

• No specific fasting or medication adjustments are generally necessary.
• Diagnostic imaging (X-rays, MRI) may be required to determine the extent of injury or condition.
• Physician consultation to tailor the device to the patient's needs.

Procedure Description

1. Patient is placed in a seated or lying position.
2. The collar and cervical bars are selected according to the patient's size.
3. The occipital and mandibular supports are adjusted and secured.
4. Cervical bars are fitted and tightened to ensure adequate stabilization.
5. Final adjustments are made to ensure patient comfort and optimal immobilization.

Tools and Equipment:

• Cervical collar with adjustable supports
• Cervical bars
• Secure fastening mechanisms

Anesthesia:

• Generally, no anesthesia or sedation is required as this is a non-invasive procedure.

Duration

• The fitting process typically takes about 30-60 minutes.

Setting

• Outpatient clinic
• Hospital orthotics department
• Rehabilitation center

Personnel

• Orthotist or specially trained healthcare professional
• Physician overseeing the procedure
• Nurse for assistance and patient care

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Discomfort from immobilization

Rare Risks:

• Difficulties in breathing (if improperly fitted)
• Impaired swallowing

Management:

• Regular monitoring of skin condition
• Adjustment of the device for comfort and safety

Benefits

• Effective immobilization of the cervical spine
• Alleviation of pain
• Prevention of further injury
• Facilitation of healing post-surgery or injury

Recovery

Post-Procedure Care:

• Regular follow-up appointments for device adjustments
• Skin care and hygiene around the collar area
• Avoid strenuous activities as advised by the physician

Recovery Time:

• Varies based on the underlying condition, generally from weeks to several months.
• Gradual return to normal activities depending on medical advice.

Alternatives

Other Options:

• Soft cervical collars
• Halo vest immobilization

Pros and Cons:

• Soft collars offer less support but greater comfort.
• Halo vests provide more rigid immobilization but are more invasive and uncomfortable.

Patient Experience

• Initial discomfort as the body adapts to the support.
• Possible feelings of restriction and limited neck movements.
• Pain management with over-the-counter pain relievers as needed.
• Regular monitoring to ensure comfort and adjust the fit as necessary.