CT should replace three-view radiographs as the initial screening test in patients at high, moderate, and low risk for blunt cervical spine injury: A prospective comparison

Journal of Trauma - Injury, Infection and Critical Care

Volumn 66, Issue 6, 2009, Pages 1605-1609

  Bailitz, John ^a   Starr, Frederic ^a   Beecroft, Matthew ^a   Bankoff, Jon ^a   Roberts, Roxanne ^a   Bokhari, Faran ^a   Joseph, Kimberly ^a   Wiley, Dorian ^a   Dennis, Andrew ^a   Gilkey, Susan ^a   Erickson, Paul ^a   Raksin, Patricia ^a   Nagy, Kimberly ^a  

^a Jr Hospital of Cook County   (United States)

Author keywords

Blinded radiologists; Blunt cervical spine injury; Cervical spine CT; Cervical spine radiographs; Prospective comparison

Indexed keywords

ADULT; ARTICLE; BLUNT TRAUMA; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; ORTHOPEDIC EQUIPMENT; PRIORITY JOURNAL; RADIATION INJURY; RADIOLOGIST; RISK ASSESSMENT; SCREENING TEST; SENSITIVITY ANALYSIS; SINGLE BLIND PROCEDURE; SURGICAL TECHNIQUE; CERVICAL SPINE; COMPARATIVE STUDY; INJURY; MASS SCREENING; PROSPECTIVE STUDY; RADIOGRAPHY; SPINE INJURY; URBAN POPULATION;

CERVICAL VERTEBRAE; HUMANS; MASS SCREENING; PROSPECTIVE STUDIES; SPINAL INJURIES; TOMOGRAPHY, X-RAY COMPUTED; URBAN POPULATION; WOUNDS, NONPENETRATING;

EID: 67749132619     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181a5b0cc     Document Type: Article

References (22)

1. 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;343:94-99.
2. 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. (Pubitemid 29489519)
3. 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; discussion 226-227.
4. Diaz JJ Jr, Gillman C, Morris JA Jr, May AK, Carrillo YM, Guy J. Are five-view plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental status. J Trauma. 2003;55:658-663; discussion 663-1654 (Pubitemid 37322604)
5. 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;56:1179-1184. (Pubitemid 38901825)
6. Gale SC, Gracias VH, Reilly PM, Schwab CW. The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma. 2005;59:1121-1125. (Pubitemid 43060967)
7. Holmes JF, Akkinepalli R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma. 2005;58:902-905. (Pubitemid 40776889)
8. Nunez DB Jr, Zuluaga A, Fuentes-Bernardo DA, Rivas LA, Becerra JL. Cervical spine trauma: how much more do we learn by routinely using helical CT? Radiographics. 1996;16:1307-1318; discussion 1318-1321.
9. Blackmore CC, Emerson SS, Mann FA, Koepsell TD. Cervical spine imaging in patients with trauma: determination of fracture risk to optimize use. Radiology. 1999;211:759-765.
10. Poonnoose PM, Ravichandran G, McClelland MR. Missed and mismanaged injuries of the spinal cord. J Trauma. 2002;53:314-320. (Pubitemid 34940565)
11. Holmes JF, Akkinepalli R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma. 2005;58:902. (Pubitemid 40776889)
12. 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. (Pubitemid 38901825)
13. Brown CV, Antevil JL, Sise MJ, Sack DI. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma. 2005;58:890-895; discussion 895-896.
14. McCulloch PT, France J, Jones DL, et al. Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after highenergy trauma. J Bone Joint Surg Am. 2005;87:2388-2394. (Pubitemid 41546367)
15. Mathen R, Inaba K, Munera F, et al. Prospective evaluation of multislice computed tomography versus plain radiographic cervical spine clearance in trauma patients. J Trauma. 2007; 62:1427-1431. (Pubitemid 46918747)
16. Schenarts PJ, Diaz J, Kaiser C, Carrillo Y, Eddy V, Morris JA Jr. Prospective comparison of admission computed tomographic scan and plain films of the upper cervical spine in trauma patients with altered mental status. J Trauma. 2001;51:663-668; discussion 668-669. (Pubitemid 33029281)
17. Hoffman JR, Mower WR. National Emergency X-radiography Utilization Study: doing what's right for your patients. Emerg Med Australas. 2005;17:406-407.
18. Blackmore CC, Ramsey SD, Mann FA, et al. Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis. Radiology. 1999;212:117-125. (Pubitemid 29302521)
19. Grogan EL, Morris JA Jr, Dittus RS, et al. Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scan. J Am Coll Surg. 2005;200:160-165.
20. Daffner RH. Helical CT of the cervical spine for trauma patients: a time study. AJR Am J Roentgenol. 2001;177:677-679. (Pubitemid 32802363)
21. Schneider AB. Radiation-induced thyroid tumors. Endocrinol Metab Clin North Am. 1990;19:495-508.
22. 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.