Re: how tight should miami-J soft collar be for ACDF?
hey rob,neck patient is very right here.that fit needs to be good in order to have the very best stabilization.i actually had to wear a pediatric size miami after my last neck surgery.i was a medic for fourteen years and believe me i fit a ton of c collars on probably hundreds of pateints.you can actually go to a place that i am almost certain your surgeon has to have the number to where they can actually fit the collar for you just for you personally.these people work strictly with prosthestics and know how to fit collars properly.this is the type of place i went to for my second c spine surgery since those hidious philly collars actually dug big ridges into my shoulders.i kept telling my NSs stupid nurse about this and she never bothered to even tell me then that there even was a place where i could actually go to even get one personally fit just for me(i actually ASKED her the second time around,duh lady??).even the small philly was way too big for me and i never should have been wearing it to begin with.
you need the best possible fit for the best possible stability.call your surgeons office,they have to know of a prosthetics place you can go to,or even look up prosthetics in your local yellow pages.it makes a big difference in your overall comfort as well to get that fit right.good luck,Marcia
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.