Neil McDonald
Journal of Paramedic Practice, Vol. 9, Iss. 2, 03 Feb 2017, pp 55 - 58

Secondary spine injury can refer to neurologic deterioration resulting either from
the clinical course of the original insult or from additional trauma. Early studies
on the pre-hospital management of potential spinal injuries observed this
distinction; later studies did not. This commentary argues a) that the convention
of ascribing all cases of neurologic deterioration to additional movement or
improper handling is unsupported, and b) that future research into best practices
in the pre-hospital management of potential spinal injuries should adopt specific
terminology to distinguish between the different senses of secondary spine

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