A spine board is provided having a skull tong anchor assembly slidably attached to the spine board where a push rod mechanism is used to apply traction force on the skull tong anchor assembly. The push rod mechanism includes a strain gauge device so that the traction force can be selected and monitored. The spine board can also include a mattress that can be attached to the spine board where the mattress includes integrated shoulder straps that can be partially detached therefrom to secure a patient to the spine board.