Clinical Examination in Complement With Computed Tomography Scan: An Effective Method for Identification of Cervical Spine Injury

2010 ◽  
Vol 68 (5) ◽  
pp. 1269
Author(s):  
Narong Kulvatunyou
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Clinical Examination ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

Clinical Examination in Complement With Computed Tomography Scan: An Effective Method for Identification of Cervical Spine Injury

2009 ◽  
Vol 67 (6) ◽  
pp. 1297-1304 ◽  
Author(s):  
Richard P. Gonzalez ◽  
Glenn R. Cummings ◽  
Herbert A. Phelan ◽  
Patrick L. Bosarge ◽  
Charles B. Rodning
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Clinical Examination ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

Radiographic Clearance of Blunt Cervical Spine Injury: Plain Radiograph or Computed Tomography Scan?

2003 ◽  
Vol 55 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Margaret M. Griffen ◽  
Eric R. Frykberg ◽  
Andrew J. Kerwin ◽  
Miren A. Schinco ◽  
Joseph J. Tepas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Plain Radiograph ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

scholarly journals Prediction Score for Cervical Spine Fracture in Patients with Traumatic Neck Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Natsinee Athinartrattanapong ◽  
Chaiyaporn Yuksen ◽  
Sittichok Leela-amornsin ◽  
Chetsadakon Jenpanitpong ◽  
Sirote Wongwaisayawan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Cervical Spine ◽  
Spine Fracture ◽  
Prediction Score ◽  
Spine Injury ◽  
Cervical Spine Fracture ◽  
Clinical Prediction ◽  
Computed Tomography Scan ◽  
Tomography Scan

Background. Cervical spine fracture is approximately 2%–5%. Diagnostic imaging in developing countries has several limitations. A computed tomography scan is not available 24 hours and not cost-effective. This study aims to develop a clinical tool to identify patients who must undergo a computed tomography scan to evaluate cervical spine fracture in a noncomputed tomography scan available hospital. Methods. The study was a diagnostic prediction rule. A retrospective cross-sectional study was conducted between August 1, 2016, and December 31, 2018, at the emergency department. This study included all patients aged over 16 years who had suspected cervical spine injury and underwent a computed tomography scan at the emergency department. The predictive model and prediction scores were developed via multivariable logistic regression analysis. Results. 375 patients met the criteria. 29 (7.73%) presented with cervical spine fracture on computed tomography scan and 346 did not. Five independent factors (i.e., high-risk mechanism of injury, paraparesis, paresthesia, limited range of motion of the neck, and associated chest or facial injury) were considered good predictors of C-spine fracture. The clinical prediction score for C-spine fracture was developed by dividing the patients into three probability groups (low, 0; moderate, 1–5; and high, 6–11), and the accuracy was 82.52%. In patients with a score of 1–5, the positive likelihood ratio for C-spine fracture was 1.46. Meanwhile, those with a score of 6–11 had an LR+ of 7.16. Conclusion. In a noncomputed tomography scan available hospital, traumatic spine injuries patients with a clinical prediction score ≥1 were associated with cervical spine fracture and should undergo computed tomography scan to evaluate C-spine fracture.

Computed Tomography for Clearance of Cervical Spine Injury in the Unevaluable Patient

2013 ◽  
Vol 80 (3-4) ◽  
pp. 405-413 ◽  
Author(s):  
Jonathan J. Russin ◽  
Frank J. Attenello ◽  
Arun P. Amar ◽  
Charles Y. Liu ◽  
Michael L.J. Apuzzo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury

Detection of Cervical Spine Injuries in Alert, Asymptomatic Geriatric Blunt Trauma Patients: Who Benefits from Radiologic Imaging?

2006 ◽  
Vol 72 (9) ◽  
pp. 773-777 ◽  
Author(s):  
Adrian W. Ong ◽  
Aurelio Rodriguez ◽  
Robert Kelly ◽  
Vicente Cortes ◽  
Jack Protetch ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Blunt Trauma ◽  
Cervical Spine Injury ◽  
Motor Vehicle ◽  
Spine Injury ◽  
Trauma Patients ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Anatomic Locations

There are differing recommendations in the literature regarding cervical spine imaging in alert, asymptomatic geriatric patients. Previous studies also have not used computed tomography routinely. Given that cervical radiographs may miss up to 60 per cent of fractures, the incidence of cervical spine injuries in this population and its implications for clinical management are unclear. We conducted a retrospective study of blunt trauma patients 65 years and older who were alert, asymptomatic, hemodynamically stable, and had normal neurologic examinations. For inclusion, patients were required to have undergone computed tomography and plain radiographs. The presence and anatomic location of potentially distracting injuries or pain were recorded. Two hundred seventy-four patients were included, with a mean age of 76 ± 10 years. The main mechanisms of injury were falls (51%) and motor vehicle crashes (41%). Nine of 274 (3%) patients had cervical spine injuries. The presence of potentially distracting injuries above the clavicles was associated with cervical injury when compared with patients with distracting injuries in other anatomic locations or no distracting injuries (8/115 vs 1/159, P = 0.03). There was no association of cervical spine injury with age greater or less than 75 years or with mechanism of injury. The overall incidence of cervical spine injury in the alert, asymptomatic geriatric population is low. The risk is increased with a potentially distracting injury above the clavicles. Patients with distracting injuries in other anatomic locations or no distracting injuries may not need routine cervical imaging.

Imaging suspected cervical spine injury: Plain radiography or computed tomography? Systematic review

Radiography ◽  
2010 ◽  
Vol 16 (1) ◽  
pp. 68-77 ◽  
Author(s):  
Gavin Cain ◽  
Jane Shepherdson ◽  
Vicki Elliott ◽  
Jon Svensson ◽  
Patrick Brennan
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Plain Radiography ◽  
Spine Injury
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