Prospective evaluation of computed tomographic scanning for the spinal clearance of obtunded trauma patients: Preliminary results

Journal of Trauma - Injury, Infection and Critical Care

Volumn 56, Issue 6, 2004, Pages 1179-1184

  Widder, Sandy ^a   Doig, Christopher ^a   Burrowes, Paul ^a   Larsen, Grant ^a   Hurlbert, R John ^a   Kortbeek, John B ^a,b  

^a UNIVERSITY OF CALGARY   (Canada)

^b FOOTHILLS HOSPITAL   (Canada)

Author keywords

Cervical spine; Radiographs; Spinal cord injury

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; EVALUATION; GLASGOW COMA SCALE; HIGH RISK POPULATION; HUMAN; INJURY SCALE; INTUBATION; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCREENING; SENSITIVITY AND SPECIFICITY; SPINAL CORD INJURY;

EID: 3142624525     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.TA.0000130758.71098.78     Document Type: Article

References (27)

1. Velmahos GC, Theodorou D, Tatevossian R, et al. Radiographic cervical spine evaluation in the alert asymptomatic blunt trauma victim: much ado about nothing? J Trauma. 1996;40:768-774.
2. 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.
3. Hoffman JR, Wolfson AB, Todd K, Mower WR. Selective C-spine radiography in blunt trauma: radiography utilization study (NEXUS). Ann Emerg Med. 1998;32:461-469.
4. Alexander RH, Procter HJ, eds. Advanced Trauma Life Support Program for Physicians. Chicago: American College of Surgeons; 1993.
5. Davis JW, Parks SN, Detlefs CL, Williams GG, Williams JL, Smith RW. Clearing the cervical spine in obtunded patients: the use of dynamic fluoroscopy. J Trauma. 1995;39:435-438.
6. Hogan BJ, Blaylock B, Tobian T. Trauma multidisciplinary QI project: evaluation of cervical spine clearance, collar selection, and skin care. J Trauma Nurs. 1997;4:60-67.
7. Blackmore CC, Ramsey SD, Mann FA, Deyo RA. Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis. Radiology. 1999;212:117-125.
8. Wales LR, Knopp RK, Morishima MS. Recommendations for evaluation of the acutely injured cervical spine: a clinical radiologic algorithm. Ann Emerg Med. 1980;9:422-428.
9. Freemyer B, Knopp R, Piche J, Wales L, Williams J. Comparison of five-view and three-view cervical spine series in the evaluation of patients with cervical trauma. Ann Emerg Med. 1989;18:818-821.
10. Woodring JH, Lee C. The role and limitations of computed tomography scanning in the evaluation of cervical trauma. J Trauma. 1992;33:698-708.
11. D'Alise MD, Benzel EC, Hart BL. Magnetic resonance imaging evaluation of the cervical spine in the comatose or obtunded patient. J Neurosurg. 1999;91:54-59.
12. Streitwieser DR, Knopp R, Wales LR, Williams JL, Tonnemacher K. Accuracy of standard radiographic views in detecting cervical spine fractures. Ann Emerg Med. 1983;12:538-542.
13. Berne JD, Velmahos GC, El-Tawil Q, et al. Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study. J Trauma. 1999;47:896-902.
14. Marion D, Domeier R, Duham CM, Luchette F, Haid R (Cervical Spine Clearance Committee). Determination of cervical spine stability in trauma patients (Update of the 1997 EAST Cervical spine clearance document). Available at: http://www.east.org/tpg/ chap3u.pdf. Accessed July 2003.
15. Clinical assessment after acute cervical spinal cord injury. Neurosurgery. 2002;50:S21-S29.
16. Borock CC, Gabram SG, Jacobs LM, et al. A prospective analysis of a two-year experience using computed tomography as an adjunct for cervical spine clearance. J Trauma. 1991;31:1001-1006.
17. Sees DW, Rodriguez Cruz LR, Flaherty SF, Ciceri DP. The use of bedside fluoroscopy to evaluate the cervical spine in obtunded trauma patients. J Trauma. 1998;45:768-771.
18. Acheson MB, Livingston RR, Richardson ML, et al. High resolution CT scanning in the evaluation of cervical spine fracture: comparison with plain film examinations. AJR Am J Roentgenol. 1987;148:1179-1785.
19. Link TM, Schuierer G, Hufendiek A, et al. Substantial head trauma: value of routine CT examination of the cervicocranium. Neuroradiology. 1995;196:741-745.
20. Lockey AS, Handley R, Willett K. Clearance of cervical spine injury in the obtunded patient. Injury. 1998;29:493-497.
21. Schleehauf K, Ross SE, Civil D, et al. Computed tomography in the initial evaluation of the cervical spine. Ann Emerg Med. 1989;18:814-817.
22. Stern EJ. Trauma Radiology Companion. Philadelphia: Lippincott-Raven; 1997:32.
23. Delganis AV, Baxter AB, Hanson JA, et al. Radiologic spectrum of craniocervical distraction injuries. Radiographics. 2000;20:S237-S250.
24. Mann FA, Cohen WA, Linnau KF, Hallam DK, Blackmore CC. Evidence-based approach to using CT in spinal trauma. Eur J Radiol. 2003;48:39-48.
25. Anglen J, Metzler M, Bunn P, Griffiths H. Flexion and extension views are not cost-effective in a cervical spine clearance protocol for obtunded trauma patients. J Trauma. 2002;52:54-59.
26. Holly LT, Kelly DF, Counelis GJ, et al. Cervical spine injury associated with moderate and severe head injury: incidence, risk factors, and injury characteristics. J Neurosurg. 2002;96:285-291.
27. Brooks RA, Willett KM. Evaluation of the Oxford protocol for total spinal clearance in the unconscious trauma patient. J Trauma. 2001;50:862-867.