A spinal immobilization device is disclosed. The spinal immobilization device may include a plurality of cleats disposed on the bottom of the spinal immobilization device to prevent damage to the spinal immobilization device. The spinal immobilization device may include one or more pieces of reflective tape disposed on the perimeter of the transparent board frame to illuminate the spinal immobilization device and to protect the one or more caregiver users and the second user. The spinal immobilization device may accommodate one or more ambidextrous users, where either side of the spinal immobilization device may be utilized as a head side or a foot side. The spinal immobilization device may be made of transparent material and X-Ray translucent material to allow the one or more caregiver users to easily view the second users injuries and allow X-raying the second users injuries while the second user is secured in the spinal immobilization device.