Exclusion of cervical spine instability in patients with blunt trauma with normal multidetector CT (MDCT) and radiography

British Journal of Neurosurgery

Volumn 22, Issue 5, 2008, Pages 669-674

  Sekula Jr , R F ^a,b   Daffner, R H ^a   Quigley, M R ^a   Rodriguez, A ^a   Wilberger, J E ^a   Oh, M Y ^a   Jannetta, P J ^a   Protetch, Jack ^a  

^a DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

^b ALLEGHENY GENERAL HOSPITAL   (United States)

Author keywords

Cervical spine; Instability; Magnetic resonance imaging; Multi detector CT

Indexed keywords

ARTICLE; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; HUMAN; INTERVERTEBRAL DISK HERNIA; MAJOR CLINICAL STUDY; MULTIDETECTOR COMPUTED TOMOGRAPHY; NEUROIMAGING; NUCLEAR MAGNETIC RESONANCE IMAGING; ORTHOSIS; PRIORITY JOURNAL; SPINE FUSION; SPINE INSTABILITY; SPINE STABILIZATION; VERTEBRAL CANAL STENOSIS;

CERVICAL VERTEBRAE; CLINICAL PROTOCOLS; FEMALE; HUMANS; JOINT INSTABILITY; MAGNETIC RESONANCE IMAGING; MALE; NECK INJURIES; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 56549108459     PISSN: 02688697     EISSN: 1360046X     Source Type: Journal    
DOI: 10.1080/02688690802308703     Document Type: Article

References (25)

1. Stiell IG, Wells GA, Vandemheen KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA 2001;286:1841-8.
2. Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med 2000;343(2):94-9.
3. Daffner RH, Brown RR, Goldberg AL. A new classification for cervical vertebral injuries: influence of CT. Skeletal Radiol 2000;29(3):125-32.
4. 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.
5. Daffner RH. Controversies in cervical spine imaging in trauma patients. Emerg Radiol 2004;11:2-8.
6. Sanchez B, Waxman K, Jones T, Conner S, Chung R, Becerra S. Cervical spine clearance in blunt trauma: evaluation of a computed tomography-based protocol. J Trauma 2005;59:179-83.
7. Widder S, Doig C, Burrowes P, Larsen G, Hurlbert RJ, Kortbeek JB. Prospective evaluation of computed tomographic scanning for the spinal clearance of obtunded trauma patients: preliminary results. J Trauma 2004;56:1179-84.
8. Daffner RH, Sciulli RL, Rodriguez A, Protetch J. Imaging for evaluation of suspected cervical spine trauma: a 2-year analysis. Injury 2006;37:652-8.
9. Benzel EC, Hart BL, Ball PA, Baldwin NG, Orrison WW, Espinosa MC. Magnetic resonance imaging for the evaluation of patients with occult cervical spine injury. J Neurosurg 1996;85:824-9.
10. D'Alise MD, Benzel EC, Hart BL. Magnetic resonance imaging evaluation of the cervical spine in the comatose or obtunded trauma patient. J Neurosurg 1999;91(Suppl): 54-9.
11. Ackland HM, Cooper DJ, Malham GM, Stuckey SL. Magnetic resonance imaging for clearing the cervical spine in unconscious intensive care trauma patients. J Trauma 2006;60:668-73.
12. Demetriades D, Charalambides K, Chahwan S, Hanpeter D, Alo K, Velmahos G, Murray J, Asensio J. Nonskeletal cervical spine injuries: epidemiology and diagnostic pitfalls. J Trauma 2000;48:724-7.
13. 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;47:684-90.
14. Davis JW, Phreaner DL, Hoyt DB, Mackersie RC. The etiology of missed cervical spine injuries. J Trauma 1993;34:342-6.
15. Shaffer MA, Doris PE. Limitation of the cross table lateral view in detecting cervical spine injuries: a retrospective analysis. Ann Emerg Med 1981;10(10):508-13.
16. Gehweiler J Jr, Osborne R Jr, Becker R. The radiology of vertebral trauma. Philadelphia: WB Saunders 1980:92-105.
17. Woodring JCL. Limitations of cervical radiography in the evaluation of acute cervical trauma. J Trauma 1999;34:32-9.
18. EAST. Determination of cervical spine instability in trauma patients: Update of the 1997 EAST Cervical Spine Clearance Document. EAST 2007.
19. Hadley M, Walters B, Grabb P, et al. Radiographic assessment of the cervical spine in asymptomatic trauma patients. Neurosurgery 2002;50(Suppl):S30-5.
20. Hadley M, Walters B, Grabb P, et al. Radiographic assessment of the cervical spine in symptomatic trauma patients. Neurosurgery 2002;50(Suppl):S36-43.
21. 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;56:132-6.
22. Hogan GJ, Mirvis SE, Shanmuganathan K, Scalea TM. Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal? Radiology 2005;237:106-13.
23. Stassen NA, Williams VA, Gestring ML, Cheng JD, Bankey PE. Magnetic resonance imaging in combination with helical computed tomography provides a safe and efficient method of cervical spine clearance in the obtunded trauma patient. J Trauma 2006;60:171-7.
24. Horn EM, Lekovic GP, Feiz-Erfan I, Sonntag VK, Theodore N. Cervical magnetic resonance imaging abnormalities not predictive of cervical spine instability in traumatically injured patients. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 2004;1:39-42.
25. Levi AD, Hurlbert RJ, Anderson P, et al. Neurologic deterioration secondary to unrecognized spinal instability following trauma - a multicenter study. Spine 2006;31:451-8.