The effect of the thermoplastic Minerva body jacket on cervical spine motion

Maiman, Dennis J.; Millington, P; Novak, Sue; Kerk, Julie J.; Ellingsen, J; Wenninger, William

doi:10.1097/00006123-198909000-00007

Cited by 7 publications

(9 citation statements)

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“…24 The majority of the studies reviewed (n = 42) provided only mean group data. [2][3][4]8,9,14,18,19,[21][22][23][24][25]28,30,31,37,39,[42][43][44][45][46][47][48][49][50][51][52][53][54][56][57][58][59][60][61][62][63][64][65][66] To determine whether an intervention is effective, researchers often report mean group differences. However, even if a statistically significant mean group effect is found, it does not imply that the intervention was effective for each study participant and fails to provide all of the data necessary to make informed treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies

2021

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Introduction:The purpose of this article is to review the literature on the effect of immobilization of the cervical spine using orthotic devices. The review focused on the methodologies of the studies to see if this might be a contributing factor to the lack of available clinical guidelines on spinal immobilization using orthoses. Methods: This review was conducted using PRISMA guidelines (PLoS Med. 2009;6:e1000097). The search was conducted in August 2019 within all major databases using relevant phrases. No date restrictions were applied, but the search was restricted to full manuscripts published in English. These searches were then supplemented by tracking all key references from the appropriate articles identified. Articles were selected according to a priori-defined criteria. Initially, data were extracted regarding publication details, orthosis name and group, spinal level studied, and whether cervical range of motion was measured. Results: A total of 52 articles fulfilled the inclusion criteria. This article discusses the methodology of the included studies. Conclusions: There is a clear paucity of well-designed research on immobilization of the cervical spine using orthotic devices. Comparing the results of studies using different types of orthoses is difficult due to the type and age of the participants involved (healthy, pathological, cadaver) and the different techniques of measurement used. This lack of standardization prevents meta-analyses from being performed and may be a contributing factor to the lack of available clinical guidelines. An agreed structured methodology is required to enable meta-analyses and determine clinical guidelines for the prescription of spinal orthoses for cervical spine pathology. (

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Section: Discussionmentioning

confidence: 99%

The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies

2021

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“…There are also some studies that compared Minerva and halo and other cervical orthoses. [ 13 14 18 19 20 ] In the research done by Benzel et al ., the intervertebral motions were evaluated on 18 patients. They showed that the unstable fractures in the upper part of cervical vertebra should be treated with a halo orthosis.…”

Section: Discussionmentioning

confidence: 99%

“…However, it seems that the Minerva provided more immobilization at C3-C4 and C6-C7. [ 19 ] Most of these studies were done on normal subjects or cadavers. Based on these studies, the Minerva orthosis was as effective as the halo in controlling the cervical motions, especially in the lower part of the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Evaluation the efficiency of cervical orthoses on cervical fracture: A review of literature

Karimi

Kamali

Fatoye

2016

J Craniovert Jun Spine

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Background:Various methods have been used to stabilize the vertebra in cervical fractures, including the use of various orthoses and surgery. However, it is not cleared which type of orthosis is more suitable for the subjects with cervical fractures to best immobilize the vertebra and to decrease the associated side effects. Therefore, the aim of this study was to evaluate the efficiency of various orthoses based on the available literature.Materials and Methods:A search was done in some databases include PubMed, ISI Web of Knowledge, EBSCO, Embasco, and Google Scholar. The search was done with some key words such as: Cervical spine injuries; odontoid fractures; hangman's fractures; axis fracture; axis, atlas, cervical fractures; trauma; neck fracture; neck injury in combination with cervical orthoses. The quality of the studies was evaluated by use of Downs and Black assessment and Assessment of Multiple Systematic Reviews (AMSTAR) for original research and review articles, respectively.Results:Based on the aforementioned key words, 25 papers were selected. The quality of the studies varies 10-24. Most of the studies were on the use of the halo vest orthosis, its side effects and also on complications associated with various orthoses.Discussion:Halo orthoses provide a high degree of restriction and immobilization; however, there are some side effects associated with this orthosis, including swallowing, pin loosening, and infection. It should be emphasized that other types of orthoses fewer complications, with reasonable outputs on motion restrictions.

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“…In general, a range of 10°-20°occurs during flexion and extension, with the lower cervical spine demonstrating a greater degree of flexibility. Similarly, lateral tilting of 4°-12°is within the normal physiologic range, with the upper cervical spine demonstrating a greater degree of flexibility (4,5). When loading forces exceed the threshold of physiologic motion, failure of the osseous elements or supporting structures is observed, with resultant deformation and a spectrum of injury patterns (4).…”

Section: Biomechanical Aspects Of Hyperextension Traumamentioning

confidence: 99%

Spectrum of Imaging Findings in Hyperextension Injuries of the Neck

Rao¹,

Wasyliw²,

Nuñez³

2005

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Nonphysiologic hyperextension and lateral forces acting on the cervical spine and soft-tissue structures of the neck can result in a wide spectrum of injury patterns. Multiple factors (eg, patient age; the underlying morphologic features of the cervical spine; the magnitude, vector, and maximal focus of the force) all influence the observed patterns and the severity of injury. A review of the 5-year trauma database in two trauma centers revealed various injury patterns that were frequently recognized in patients with clinical evidence or historical documentation of a predominant hyperextension mechanism. Injuries included anterior arch avulsion and posterior arch compression fractures of the atlas, odontoid fractures, traumatic spondylolisthesis and teardrop fracture of C2, laminar and articular pillar fractures, and hyperextension dislocation injuries. More severe injuries were observed in patients with underlying predisposing conditions (eg, degenerative spondylosis, ankylosing spondylitis, diffuse idiopathic skeletal hyperostosis). Knowledge of the involved biomechanical factors provides a framework for understanding these injury patterns. Diagnostic imaging, especially computed tomography and magnetic resonance imaging, plays a fundamental role in the assessment of patients with suspected cervical injury. Furthermore, cross-sectional imaging facilitates the recognition of accompanying injuries to the face, the head, and the vascular structures of the neck.

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The effect of the thermoplastic Minerva body jacket on cervical spine motion

Cited by 7 publications

References 0 publications

The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies

The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies

Evaluation the efficiency of cervical orthoses on cervical fracture: A review of literature

Spectrum of Imaging Findings in Hyperextension Injuries of the Neck

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