Which of the following is a contraindication to C-spine realignment?

Which of the following is a contraindication to C-spine realignment?

• A. Pain caused or increased by movement
• B. Airway compromise
• C. Neurologic symptoms
• D. Muscle spasm

Answer: (A)

Pain that is caused or worsened by movement signals instability in the cervical spine. When moving the neck provokes pain, it suggests a fracture, dislocation, or severe ligament injury, and attempting realignment could displace bone fragments or worsen spinal cord injury. Because of that risk, realignment is contraindicated in this situation; instead, immobilize and transport for professional evaluation. Airway compromise, neurologic symptoms, and muscle spasm can occur with neck injuries, but they do not, in this context, singularly indicate that realignment should be avoided. The key warning sign here is movement-induced pain, which points to instability and potential harm from manipulation.

Pain that is caused or worsened by movement signals instability in the cervical spine. When moving the neck provokes pain, it suggests a fracture, dislocation, or severe ligament injury, and attempting realignment could displace bone fragments or worsen spinal cord injury. Because of that risk, realignment is contraindicated in this situation; instead, immobilize and transport for professional evaluation.

Airway compromise, neurologic symptoms, and muscle spasm can occur with neck injuries, but they do not, in this context, singularly indicate that realignment should be avoided. The key warning sign here is movement-induced pain, which points to instability and potential harm from manipulation.