Abstract: A spline and splinting board combination is disclosed that comprises a two-part board structure with an upper board and a lower board that may be adjustably secured to each other. The upper board may be utilized independently when a small child or infant is to be transported and has a pair of belt receiving slots that allows the board to be utilized with differing heights of small children or infants. The upper board is adjustably secured to the lower board through a pair of thumb screws received in adjustment slots to allow adjustment of the distance from the top of the upper board to the bottom of the lower board to correspond to a desired distance for a particular patient. Inflatable cervical and lumbar supports are disclosed that may be quickly inflated or deflated to provide additional supports to those areas of the patient.