Use of goniometry to predict inadequate flexion-extension roentgenograms: A preliminary study

Journal of Trauma

Volumn 59, Issue 2, 2005, Pages 395-400

  Cotton, Bryan A ^a   Gracias, Vicente H ^a   Insko, Erik K ^b   Gupta, Rajan ^a   Born, Christopher T ^c   Schwab, C William ^a  

^a Division of Traumatology and Surgical Critical Care   (United States)

^b Department of Radiology ^*  (United States)

^c HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Cervical spine; flexion and extension; goniometry; roentgenograms

Indexed keywords

ADULT; ARTICLE; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; EMERGENCY WARD; FEMALE; GONIOMETRY; HIGH RISK PATIENT; HUMAN; INCIDENCE; JOINT MOBILITY; MAJOR CLINICAL STUDY; MALE; PREDICTION; PRIORITY JOURNAL;

ADULT; CERVICAL VERTEBRAE; FEMALE; HUMANS; NECK INJURIES; PROSPECTIVE STUDIES; RANGE OF MOTION, ARTICULAR; SOFT TISSUE INJURIES; WOUNDS, NONPENETRATING;

EID: 27844577674     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000174943.50540.07     Document Type: Article

References (22)

1. Stiell IG, Wells GA, Vandemheen KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286:1841-1848.
2. Insko EK, Gracias VH, Gupta R, Goettler CE, Gaieski DF, Dalinka MK. Utility of flexion and extension radiographs of the cervical spine in the acute evaluation of blunt trauma. J Trauma. 2002;53:426-429.
3. Woodring JH, Lee C. Limitations of cervical radiography in the evaluation of acute cervical trauma. J Trauma. 1993;34:32-39.
4. Nunez DB, Zuluaga A, Fuentes-Bernando DA. Cervical spine trauma: how much do we learn by routinely using helical CT? Radiographics. 1996;16:1307-1318.
5. Albrecht RM, Malik S, Kingsley DD, Hart B. Severity of cervical spine ligamentous injury correlates with mechanism of injury, not with severity of blunt head trauma. Am Surg. 2003;69:261-265.
6. Warner J, Shanmuganathan K, Mirvis SE, Cerva D. Magnetic resonance imaging of ligamentous injury of the cervical spine. Emerg Radiol. 1996;3:9-15.
7. Grossman MD, Reilly PM, Gillett T, Gillett D. National survey of the incidence of cervical spine injury and approach to cervical spine clearance in U.S. trauma centers. J Trauma. 1999;47:684-690.
8. Wang JC, Hatch JD, Sandhu HS, Delamarter RB. Cervical flexion and extension radiographs in acutely injured patients. Clin Orthop Relat Res. 1999;365:111-116.
9. Ralston ME, Chung K, Barnes PD, Emans JB, Schutzman SA. Role of flexion-extension radiographs in blunt pediatric cervical spine injury. Acad Emerg Med. 2001;8:237-245.
10. Brady WJ, Moghtader J, Cutcher D, Exline C, Young J. ED use of flexion-extension cervical spine radiography in the evaluation of blunt trauma. Am J Emerg Med. 1999;17:504-508.
11. Davis JW, Parks SN, Detlefs CL. Clearing the cervical spine in obtunded patients: the use of dynamic fluoroscopy. J Trauma. 1995;39:435-438.
12. Barba CA, Taggert J, Morgan AS. A new cervical spine clearance protocol using computed tomography. J Trauma. 2001;51:652-656.
13. Tousignant M, Duclos E, Lafleche S. Validity study for the cervical range of motion device used for lateral flexion in patients with neck pain. Spine. 2000;27:812-817.
14. Marion DW, Domeier R, Dunham CM, et al. Practice management guidelines for identifying cervical spine injuries after trauma. Available at: http://www.EAST.org/tpg/chap3u.pdf. Accessed June 30,2003.
15. Vandemark RM. Radiology of the cervical spine in trauma patients: practice pitfalls and recommendations for improving efficiency and communication. AJR Am J Roentgenol. 1990;155:465-472.
16. Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma. 2003;55:222-226.
17. Pollack Jr., CV Hendey GW, Martin DR, Hoffman JR, Mower WR. Use of flexion-extension radiographs of the cervical spine in blunt trauma. Ann Emerg Med. 2001;38:8-10.
18. Davis JW, Kaups KL, Cunningham MA, et al. Routine evaluation of the cervical spine in head-injured patients with dynamic fluoroscopy: a reappraisal. J Trauma. 2001;50:1044-1047.
19. Gerrelts BD, Petersen EU, Mabry J, Petersen SR. Delayed diagnosis of cervical spine injuries. J Trauma. 1991;31:1622-1626.
20. DiGiacomo JC, Frankel HL, Rotondo MF. Clearing the spine in victims of blunt trauma. Mil Med. 2002;167:398-401.
21. Rybicki F, Nawfel RD, Judy PF, et al. Skin and thyroid dosimetry in cervical spine screening: two methods for evaluation and a comparison between a helical CT and radiographic trauma series. AJR Am J Roentgenol. 2002;179:933-937.
22. Sforza C, Grassi G, Fragnito N, Turci M, Ferrario V. Three-dimensional analysis of active head and cervical spine range of motion: effect of age in healthy male subjects. Clin Biomech (Bristol, Avon). 2002;17:611-614.