Do flexion extension plain films facilitate treatment after trauma?

American Surgeon

Volumn 76, Issue 12, 2010, Pages 1351-1354

  Duane, Therèse M ^a   Scarcella, Nicholas ^a   Cross, Justin ^a   Wolfe, Luke G ^a   Mayglothling, Julie ^a   Aboutanos, Michel B ^a   Whelan, James F ^a   Malhotra, Ajai K ^a   Ivatury, Rao R ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BLUNT TRAUMA; CERVICAL SPINE INJURY; COST EFFECTIVENESS ANALYSIS; FEMALE; FLEXION EXTENSION FILM; HOSPITALIZATION; HUMAN; INJURY SEVERITY; LIGAMENT INJURY; MAJOR CLINICAL STUDY; MALE; RADIOGRAPHY; X RAY FILM;

ADULT; CERVICAL VERTEBRAE; FEMALE; GLASGOW COMA SCALE; HUMANS; INJURY SEVERITY SCORE; LIGAMENTS, ARTICULAR; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 78651374519     PISSN: 00031348     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (18)

1. Pasquale M, Fabian TC. Practice management guidelines for trauma from the Eastern Association for the Surgery of Trauma. J Trauma 1998;44:941-56. (Pubitemid 28310955)
2. Marion D, Domeier R, Dunham CM, et al. Determination of cervical spine instability in trauma patients (update of the 1997 EAST cervical spine clearance document). 2000, Available at: http://east.org/tpg/chap3u.pdf. Accessed July 7, 2009.
3. 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;87:2388-94. (Pubitemid 41546367)
4. Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma 2003;55:222-6.
5. 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.
6. Brown CV, Antevil JL, Sise MJ, et al. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma 2005;58:890-5.
7. Diaz JJ Jr, Aulino JM, Collier B, et al. The early work-up for isolated ligamentous injury of the cervical spine: does computed tomography scan have a role? J Trauma 2005;59:897-903.
8. Widder S, Doig C, Burrowes P, et al. Prospective evaluation of computed tomographic scanning for the spinal clearance of obtunded trauma patients: preliminary results. J Trauma 2004;56:1179-84. (Pubitemid 38901825)
9. 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;200:160-5.
10. Como JJ, Diaz JJ, Dunham CM, et al. Practice management guidelines for identification of cervical spine injuries following trauma: update from the Eastern Association for the Surgery of Trauma Practice Management Guidelines Committee. J Trauma 2009;67:651-9.
11. Duane TM, Dechert T, Wolfe LG, et al. Clinical examination and its reliability in identifying cervical spine fractures. J Trauma 2007;62:1405-8. (Pubitemid 46918741)
12. Stiell IG, Clement CM, McKnight RD, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med 2003;349:2510-8.
13. Goodnight TJ, Helmer SD, Dort JM, et al. A comparison of flexion and extension radiographs with computed tomography of the cervical spine in blunt trauma. Am Surg 2008;74:855-7.
14. Griffiths HJ, Wagner J, Anglen J, et al. The use of forced flexion/extension views in the obtunded trauma patient. Skeletal Radiol 2002;31:587-91. (Pubitemid 36075482)
15. Insko EK, Gracias VH, Gupta R, et al. Utility of flexion and extension radiographs of the cervical spine in the acute evaluation of blunt trauma. J Trauma 2002;53:426-9.
16. Bolinger B, ShartzM,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. (Pubitemid 38182176)
17. 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;50:1044-7.
18. Anglen J, Metzler M, Bunn P, et al. Flexion and extension views are not cost-effective in a cervical spine clearance protocol for obtunded trauma patients. J Trauma 2002;52:54-9. (Pubitemid 34094246)