Cohort Studymoderate evidence
Effect of prehospital cervical spine immobilization on mortality and neurological outcome in trauma patients: an observational cohort study with propensity score matching based on the trauma registry of the German trauma society (TraumaRegister DGU®).
World journal of emergency surgery : WJES·September 22, 2026·PMID 42786484
Why it mattersPrehospital cervical spine immobilization is standard trauma care, but evidence for its benefit is limited and adverse effects are increasingly recognized. This large, propensity-matched analysis suggests no measurable mortality or neurological benefit, even in patients with confirmed cervical spine injury, challenging routine undifferentiated immobilization.
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