id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-14088	Gheri, Flavio; Toppi, Niccolò; Bortoli, Nicola; Forni, Marco; Celi, Simone; Romano, Roberto; Bocchi, Ilario; Coraci, Giuseppe; Petta, Domenica; Floccare, Douglas. J.	Prehospital spinal and cervical motor restriction in adult trauma patients: a narrative review	2025	6	.pdf	application/pdf	4282	218	38	Furthermore, it is neces- sary to assess the economic, organizational, and psychological impacts associated with the widespread use of spinal immobiliza- tion devices.4,21,22 In light of these considerations, the present narrative review aims to critically analyze the available evidence on the clinical effectiveness of prehospital spinal immobilization, with specific attention to associated complications, device comparisons, the implementation of selective decision criteria, and the persistent gaps in the literature. The selection process was guided by the primary out- come, namely the identification of evidence concerning the most appropriate modality of cervical and spinal immobilization in adult trauma patients in prehospital settings, as described in the PCC Framework (Supplementary materials, Table 2).29 Narrative synthesis of results Clinical effectiveness of spinal immobilization Several studies have investigated the clinical effectiveness of prehospital spinal immobilization in terms of neurological and functional outcomes.	cache/ecj-14088.pdf	txt/ecj-14088.txt