Cervical spine clearance in unconscious traumatic brain injury patients: Dynamic flexion-extension fluoroscopy versus computed tomography with three-dimensional reconstruction

Journal of Trauma - Injury, Infection and Critical Care

Volumn 60, Issue 2, 2006, Pages 341-345

  Padayachee, Laven ^a   Cooper, D James ^a   Irons, Steven ^a   Ackland, Helen M ^a   Thomson, Ken ^a   Rosenfeld, Jeffrey ^a   Kossmann, Thomas ^a  

^a ALFRED HOSPITAL   (Australia)

Author keywords

Cervical spine; Flexion extension fluoroscopy; Traumatic brain injury

Indexed keywords

ARTICLE; CERVICAL SPINE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FLUOROSCOPY; HUMAN; KNEE FUNCTION; KNEE INSTABILITY; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; THREE DIMENSIONAL IMAGING; TRAUMATIC BRAIN INJURY; ALGORITHM; AUSTRALIA; BRAIN INJURY; CLINICAL PROTOCOL; COMPARATIVE STUDY; DECISION TREE; EMERGENCY HEALTH SERVICE; INJURY; JOINT CHARACTERISTICS AND FUNCTIONS; LABORATORY DIAGNOSIS; LIGAMENT; METHODOLOGY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOPHYSIOLOGY; PATIENT SELECTION; RADIOGRAPHY; REPRODUCIBILITY; RISK FACTOR; SENSITIVITY AND SPECIFICITY; STANDARD; UNCONSCIOUSNESS; VALIDATION STUDY;

ALGORITHMS; BRAIN INJURIES; CERVICAL VERTEBRAE; CLINICAL PROTOCOLS; DECISION TREES; FALSE NEGATIVE REACTIONS; FALSE POSITIVE REACTIONS; FLUOROSCOPY; HUMANS; IMAGING, THREE-DIMENSIONAL; LIGAMENTS, ARTICULAR; MAGNETIC RESONANCE IMAGING; PATIENT SELECTION; PROSPECTIVE STUDIES; RANGE OF MOTION, ARTICULAR; REPRODUCIBILITY OF RESULTS; RISK FACTORS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA CENTERS; UNCONSCIOUSNESS; VICTORIA;

EID: 33646090866     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000195716.73126.12     Document Type: Article

References (15)

1. Holly LT, Kelly DF, Counelis GJ, et al. Cervical spine trauma associated with moderate and severe head injury: incidence, risk factors, and injury characteristics. J Neurosurg. 2002;96:285-291.
2. Ajani AE, Cooper DJ, Scheinkestel CD, et al. Optimal assessment of cervical spine trauma in critically ill patients: A prospective evaluation. Anaesth Intensive Care. 1998;26:487-191.
3. Davis JW, Parks SN, Detlefs CL, et al. Clearing the cervical spine in obtunded patients: The use of dynamic fluoroscopy. J Trauma. 1995;39:435-438.
4. Sees DW, Cruz LRR, Flaherty SF, Ciceri DP. The use of bedside fluoroscopy to evaluate the cervical spine in obtunded trauma patients. J Trauma. 1998;45:768-771.
5. Brooks RA, Willet KM. Evaluation of the Oxford protocol for total spinal clearance in the unconscious trauma patient. J Trauma. 2001;50:862-867.
6. Griffiths HJ, Wagner J, Anglen J, et al. The use of forced flexion/ extension views in the obtunded trauma patient. Skeletal Radiol. 2002;31:587-591.
7. 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.
8. Freedman I, van Gelderen D, Cooper DJ, et al. Cervical spine assessment in the unconscious trauma patient. J Trauma. 2005;58:1183-1188.
9. Hoffman JR, Mower WR, Wolfson AB, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. N Engl J Med. 2000;343:94-99.
10. Hanley JA, Lippman-Hand A. If nothing goes wrong, is everything alright? JAMA. 1983;259:1743-1745.
11. Eypasch E, Lefering R, Kum CK, Troidl H. Probability of adverse events that have not yet occurred: A statistical reminder. BMJ. 1995;311:619-620.
12. Bolinger B, Shartz M, Marion D. Bedside fluoroscopic flexion and extension cervical spine radiographs for clearance of the cervical spine in comatose trauma patients. J Trauma. 2004;56:132-136.
13. Chiu WC, Haan JM, Cushing BM, et al. Ligamentous injuries of the cervical spine in unreliable blunt trauma patients: Incidence, evaluation and outcome. J Trauma. 2001;50:457-164.
14. 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.
15. 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.