Which of the following best describes cervical spine management for adult neurogenic shock?

• A. No immobilization
• B. Remove the cervical collar
• C. Apply manual stabilization only
• D. Cervical Spine Motion Restriction

Answer: (D)

In suspected cervical spine injury, protecting the spinal cord means actively limiting neck movement to prevent secondary injury during care and transport. This is best achieved using cervical spine motion restriction, which combines maintaining alignment with devices like a collar and backboard (when appropriate) and performing careful, controlled movements rather than letting the neck move freely. It’s a practical, ongoing approach that reduces motion while still allowing necessary assessment and treatment.

Removing the collar or immobilization entirely would increase the risk of further injury from movement, while relying on manual stabilization alone isn’t always feasible or sufficient during transport. Manual stabilization can be used temporarily, but without the broader motion-restriction approach, the neck remains vulnerable.