Other considerations for prescription

• Obesity
• Osteoporosis
• Metastatic Cancer
• Spinal Alignment
• Ankylosing Spondylitis
• Palliative care
• Lifestyle and Activity
• Mental Health Status
• Dementia
• Home Circumstances/Carers

Other Prescription Choices

Philadelphia Collar

Company indications

• Herniated cervical disc
• Cervical spondylosis
• Cervical spondylitis
• RA and OA cervical spine
• Motor Neurone Disease
• Stable cervical fractures

Evidence indications

• Cervical burst fracture (Koivikko, 2000)
• Stable Type II across the base of the odontoid process at the junction with the axis body (Singh, 2012. Osman, 2017)
• Stable Type III through the odontoid that extends into the axis body (Osman, 2017)

SOMI Brace

Company indications

• C4/5-T3/4 immobilisation following trauma
• Post-op fixation
• Weak RA spine
• To prevent further deformity and progressive illness

Evidence indications

• Stable Type II across the base of the odontoid process at the junction with the axis body (Chaudhary, 2010)