PLASTER CAST

FOR SPINE
FRACTURE

MINERVA CAST
1. Short Minerva Cast
2. Full Minerva Cast

INDICATION
Fr. Cervical / upper Thoracal
vertebrae
Cervical Dislocation after reduction

PREPARATION
Applied with the patient supine on
an orthopaedic table in gentle headhalter traction.
Stable the patient in the upright
position

Short Minerva Cast

Technique
1. Padding is placed around the back of the
head,chin,neck and shoulder
2. The Neck, Chin and back of the head are fixed with two
plaster bandage wich are molded to fit closely
3. Reinforced with slab:
1. From the chin to the back of the head
2. Around the neck
3. Two broad plaster slab over the shoulder like
shoulder strap
4. From the back of the head to the lower border of the
scapula

Remarks:
- The ear should remain free
- The cast should not limit movement
in the shoulder joint

Full Minerva Cast

Technique
Same with Short Minerva cast but the
Padding is Applied include the forehead
and the thorax
Note:
1. Position of the head usually in extension
or in neutral position
2. In the neutral position or slight flexion in
the case of hyperextension injury

BODY JACKET
INDICATION:
- Stable Burst and Compression
fracture of Thoracolumbar Vertebrae
(V th 7- VL 3)
- Cranial to VTh 7 with cervical
extension
- Caudad to VL 3 with Hip extension
(Spica)

PRONE POSITION

SUPINE POSITION

Body Jacket Technique

Prone or supine position between
two table
The Patient is placed in tubular
stockinette from the neck down to
the knee,The Arm remain free
The trunk is padded in circular
fashion
3 plaster bandages 6 wide are
wound around the trunk and the cast
is then reinforced with several lateral

 The cast is completed with 3-4 plaster

bandage and closely molded to the iliac
crest
Normally it extend:
- Ventrally from the lower border of
axilla and on the chest just short of the
sternal notch to symphysis
- Dorsally from lower border os the
scapula to the sacrum
Window is cut away over the epigastrium
Remarks: The Cast should fit closely so
that it cannot slip down

Body Cast

THANK YOU