In order to minimise the chances of exacerbating unrecognised spinal cord injury, non-essential movements of the spine must be avoided until adequate examination and investigations have excluded it. If manoeuvres that might cause spinal movement are essential (for example, during examination of the back in the course of the secondary survey) then log-rolling should be performed. The aim of log-rolling is to maintain the alignment of the spine during turning of the child. The basic requirements are an adequate number of carers and good control.
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