Does the novel lateral trauma position cause more motion in an unstable cervical spine injury than the logroll maneuver?

Abstract

In this cadaver study, the novel lateral trauma position and the well-established log-roll maneuver resulted in comparable amounts of motion in an unstable cervical spine injury model. We suggest that the lateral trauma position may be considered for unconscious non-intubated trauma patients.

Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection

“…These results suggest that lateral positioning is appropriate in certain situations. 54 Recommendation. The lift and slide transfer with trap squeeze is preferred to the log-roll when transferring patients when motion restriction is desired.…”

Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection: 2024 Update

“…These results suggest that lateral positioning is appropriate in certain situations. 59 Recommendation: We recommend the lift and slide transfer with trap squeeze to the log-roll when transferring patients if motion restriction is desired. In the case of facial fractures, an unconscious patient, or other scenarios concerning for airway compromise, the lateral position may be considered.…”