Cervical Orthotic Services
Cervical orthosis provide stabilization of the cervical and upper thoracic spine. The cervical orthosis can be classified into two main categories: soft collar and hard collar devices.
Soft Cervical Collar
The soft collar is a common, lightweight orthotic device made of polyurethane foam robber with a soft cotton stockinette cover and velcro closure straps. Soft collar offers various benefits:
- Head support,
- Relief from muscle spasm, and
- Relief from cervical strain.
It should be noted that soft or foam cervical collar offers the least amount of immobilization to the cervical spine.
Hard Cervical Collar
Hard Cervical Collars are made of plastizote, which is a rigid polyethylene material. Hard collars are more durable than soft collars. These collars offer various benefits:
- Head support for neck pain,
- Relief of minor muscle spasm, and
- Interim stability and protection during halo application.
Hard plastic or metal support collars are used to hold the neck of patients with amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS) and other degenerative diseases where the muscles are too weak to support the weight of the skull.
Wire Foam Collar
It consists of a wire frame covered with a protective semi-dense foam material. This device offers increased ventilation due to its open wire frame configuration.
It is useful for patients with weak neck and acute neck pain. It provides relief for minor muscle spasm associated with spondylosis, and psychological comfort.
Cervical, Semi Rigid, Adjustable Plastic Collar (Miami J, Malibu, and Pacific styles)
These are made of plastazote material with reinforced thermoplastic. These collars are height adjustable and are secured around the neck with Velcro straps.
It is used for cervical strain, anterior cervical fusion, halo removal, suspected cervical trauma, tear-drop fracture, and so on.
It is a rigid cervical orthosis which consists of metal thoracic plates secured to the body with over-the-shoulder and chest straps. It provides immobilization for C1 fractures with intact transverse ligament, after surgical fication of Dens Type III fractures, Jefferson fractures, and postoperative fixation.
Sternal Occipital Mandibular Immobilizer (SOMI) Orthosis
It is a rigid three-post cervical thoracic orthosis which consists of a rigid malleable chest plate that extends from the pectoral region to the xiphoid. The head sections are height adjustable.
It is used for patients with rheumatoid arthritis, immobilization for neural arch features, controlling flexion at the atlantoaxial and C2-C3 segments.
Lerman Minverva (2 post) Cervical Orthosis
It consists of a thermoplastic anterior and posterior vest extending distally to the xiphoid region and secured to the body with Velcro straps.
It is used for optimal control of the cervical region. The brace consists of an adjustable metal halo ring coupled to a rigid thermoplastic thoracic jacket by means of an adjustable metal framework. The entire assembly can be adjusted for optimal alignment and stabilization of the cervical spine.
Lerman Non-Invasive Halo
It is a pinless halo system developed with the goal of providing cervical spine immobilization and control similar to the standard halo in a less invasive fashion. The non-invasive halo stabilizes the head with a cervical ring and pads located on the forehead and occiput.
It is designed to cradle a baby's body, securely and gently immobilizing the head and spine in the proper anatomical airway and spinal alignment. The unnique design allows for continued intimacy between the caregiver and child.
It is a custom molded cervical thoracic brace designed to provide a static stretch to the sternocleidomastoid (SCM) muscle. It is used for congenital shortening of the SCM muscle, post-op SCM tenotomies.