Which immobilization option best describes spinal injury immobilization during transport?

• A. Backboard with cervical collar is contraindicated.
• B. A backboard with cervical collar is used as appropriate.
• C. Immobilization is unnecessary if the patient is alert.
• D. Only manual stabilization is required.

Answer: (B)

When a spinal injury is suspected, the goal during transport is to prevent any movement of the spine to avoid worsening injury. A cervical collar helps keep the neck in proper alignment, while a rigid backboard provides a stable platform that immobilizes the head, neck, and torso as a unit. This setup is used as appropriate because it directly reduces motion during transfer and handling, which is critical even if the patient is conscious or verbally responsive. Relying on manual stabilization alone isn’t enough once you start moving the patient, and omitting immobilization contradicts established precautions. So, using a backboard with a cervical collar during transport is the best approach to protect the spine.