Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Role of cervical spine radiography in the initial evaluation of stable high-energy blunt trauma patients

(2011) Role of cervical spine radiography in the initial evaluation of stable high-energy blunt trauma patients. Journal of Orthopaedic Science.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Background Detecting cervical spine injuries in trauma patients is essential because undetected injuries in the this area may result in severe neurological disability and probably quadriplegia. Thus, radiography of the cervical spine is considered mandatory in the initial evaluation of trauma patients according to Advanced Trauma Life Support. This approach results in many unnecessary normal radiographs. Therefore, we performed this study to determine the role of routine cervical radiography in the initial evaluation of stable high-energy blunt trauma patients. Methods This was a prospective cross-sectional study including all hemodynamically stable high-energy blunt trauma patients with negative cervical physical examinations referred to our trauma center during a 5-month period (May to September 2010). Cervical radiographs, computed tomography (CT) scanning and magnetic resonance imaging were performed and reviewed for abnormalities. Results During the study period, 1,679 high-energy blunt trauma patients were referred to our center, of which 400 were hemodynamically stable and had negative cervical physical examinations. Cervical radiographs were found to be normal in all patients. Conclusion Cross-table cervical spine radiographs can be limited to those high-energy blunt trauma patients who have a positive cervical physical examination or those in whom the physical examination is not revealing. These radiographs also have low value for detecting occult cervical spine fractures, and CT imaging is considered the modality of choice in these cases. © The Japanese Orthopaedic Association 2011.

Item Type: Article
Additional Information: cited By 11
Keywords: adult; article; blunt trauma; cervical spine; cervical spine injury; cervical spine radiography; clinical effectiveness; clinical evaluation; computer assisted tomography; controlled clinical trial; controlled study; diagnostic accuracy; female; hemodynamic monitoring; human; intermethod comparison; major clinical study; male; nuclear magnetic resonance imaging; physical examination; prediction; sensitivity and specificity; spinal pain
Subjects: WN Radiology. Diagnostic Imaging > WN 180-240 Diagnostic Imaging
WP Gynecology and Obstetrics > WP 400-480 Uterus. Cervix
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/5407

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