Application of imaging guidelines in patients with suspected cervical spine trauma: Retrospective analysis and literature review

Emergency Radiology

Volumn 18, Issue 1, 2011, Pages 31-38

  Kokabi, Nima ^a   Raper, Daniel M S ^a   Xing, Minzhi ^a   Giuffre, Bruno Mario ^b  

^a UNIVERSITY OF SYDNEY   (Australia)

^b ROYAL NORTH SHORE HOSPITAL   (Australia)

Author keywords

Blunt trauma; Cervical spine; Guidelines

Indexed keywords

ADOLESCENT; ADULT; AGED; ALGORITHM; AUSTRALIA; BLUNT TRAUMA; CERVICAL SPINE INJURY; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC IMAGING; FEMALE; HEALTH CARE QUALITY; HEALTH PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT CODING; PRACTICE GUIDELINE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; RISK ASSESSMENT; VICTIM;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CERVICAL VERTEBRAE; FEMALE; GUIDELINES AS TOPIC; HUMANS; INJURY SEVERITY SCORE; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SPINAL INJURIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 78651486649     PISSN: 10703004     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10140-010-0901-z     Document Type: Review

References (27)

1. DM Sciubba RJ Petteys 2009 Evaluation of blunt cervical spine injury South Med J 102 823 828 19593299
2. JW Davis DL Phreaner DB Hoyt, et al. 1993 The etiology of missed cervical spine injuries J Trauma 34 342 346 1:STN:280:DyaK3s3kslSktw%3D%3D 10.1097/00005373-199303000-00006 8483172
3. RH Daffner 2001 Helical CT of the cervical spine for trauma patients: a time study Am J Roentgenology 177 677 679 1:STN:280:DC%2BD3MvntFKqug%3D%3D
4. JF Holmes R Akkinepalli 2005 Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis J Trauma Injury Infection Crit Care 58 902 905 10.1097/01.TA.0000162138.36519.2A
5. JR Hoffman DL Schriger W Mower JS Luo M Zucker 1992 Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study Ann Emerg Med 21 1454 1460 1:STN:280:DyaK3s%2FntlWqtw%3D%3D 10.1016/S0196-0644(05)80059-9 1443841
6. JR Hoffman WR Mower AB Wolfson KH Todd MI Zucker 2000 Validity of a set of clinical criteria to rule out injury to cervical spine in patients with blunt trauma N Engl J Med 343 94 99 1:STN:280:DC%2BD3czjtFChsg%3D%3D 10.1056/NEJM200007133430203 10891516
7. CC Blackmore SS Emerson FA Mann TD Koepsell 1999 Cervical spine imaging in patients with trauma: determination of fracture risk to optimize use Radiology 211 759 765 1:STN:280:DyaK1M3otVyluw%3D%3D 10352603
8. JA Hanson CC Blackmore FA Mann AJ Wilson 2000 Cervical spine injury: a clinical decision rule to identify high-risk patients for helical CT screening AJR Am J Roentgenol 174 713 717 1:STN:280:DC%2BD3c7mtlGnuw%3D%3D 10701614
9. S Goergen 2004 Imaging guideline1: blunt cervical spine trauma Australas Radiol 48 3 287 1:STN:280:DC%2BD2cvjvFSlsw%3D%3D 10.1111/j.0004-8461.2004.01308. x 15344974
10. IG Stiell GA Wells K Vandemheen C Clement H Lesiuk A Laupacis RD McKnight R Verbeek R Brison D Cass MA Eisenhauer GH Greenberg J Worthington for the CCC Study Group 2001 The Canadian CT head rule for patients with minor head injury Lancet 357 1391 1396 1:STN:280:DC%2BD3M3mtlGntw%3D%3D 10.1016/S0140-6736(00) 04561-X 11356436
11. SK Goergen C Fong K Dalziel G Fennessy 2006 Can an evidence-based guideline reduce unnecessary imaging of road trauma patients with cervical spine injury in the emergency department? Australas Radiol 50 6 563 569 1:STN:280:DC%2BD28nntVemuw%3D%3D 10.1111/j.1440-1673.2006.01655.x 17107528
12. J Blackham J Benger 2009 'Clearing' the cervical spine in conscious trauma patients Trauma 11 93 109 10.1177/1460408608101856
13. BJ Tins VN Cassar-Pullicino 2004 Imaging of acute cervical spine injuries: review and outlook Clin Radiol 50 865 880 10.1016/j.crad.2004.06.019
14. J Broder DM Warshauer 2006 Increasing utilization of computed tomography in the adult emergency department, 2000-2005 Emerg Radiol 13 25 30 10.1007/s10140-006-0493-9 16900352
15. E Pitt DK Pedley A Nelson M Cumming M Johnston 2006 Removal of C-spine protection by A&E triage nurses: a prospective trial of a clinical decision making instrument Emerg Med J 23 214 215 1:STN:280:DC%2BD287htV2ktw%3D%3D 10.1136/emj.2005.023697 16498160
16. R Meek D McGannon L Edwards 2007 The safety of nurse clearance of the cervical spine using the National emergency x-radiography utilization study low-risk criteria Emerg Med Australas 19 372 376 10.1111/j.1742-6723.2007.00995. x 17655642
17. Schwartz ED, Flanders AE (2007) Spinal trauma: imaging, diagnosis, and management, 1st edn. Lippincott Williams & Wilkins, New York, p 440
18. K Brohi M Healy T Fotheringham, et al. 2005 Helical computed tomographic scanning for the evaluation of the cervicalspine in the unconscious, intubated trauma patient J Trauma 58 897 901 10.1097/01.TA.0000171984.25699.35 15920399
19. KK Oguz DM Yousem T Deluca EH Herskovits NJ Beauchamp 2002 Effect of emergency department CT on neuroimaging case volume and positive scan rates Acad Radiol 9 1018 1024 10.1016/S1076-6332(03)80477-4 12238543
20. JW McDonald C Sadowsky 2002 Spinal-cord injury Lancet 359 417 425 10.1016/S0140-6736(02)07603-1 11844532
21. F Rybicki D Richard RD Nawfel F Philip PF Judy, et al. 2002 Skin and thyroid dosimetry in cervical spine screening: two methods for evaluation and a comparison between a helical ct and radiographic trauma series AJR 179 933 937 12239041
22. DJ Brenner D Carl CD Elliston EJ Hall WE Berdon 2001 Estimated risks of radiation-induced fatal cancer from pediatric CT AJR 176 289 296 1:STN:280:DC%2BD3M3isVWktg%3D%3D 11159059
23. CC Blackmore SD Ramsey FA Mann RA Deyo 1999 Cervical spine screening with CT in trauma patients:a cost-effectiveness analysis Radiology 212 117 125 1:STN:280:DyaK1MzjsVajsA%3D%3D 10405730
24. National Health and Medical Research Council, NHMRC, of Australia [homepage on the Internet]. Emergency Care Community of Practice Blog. Southern Health, Melbourne, Australia. [updated 13 Dec 2007; cited 24 Feb 2010]. Cervical spine imaging request form including NEXUS criteria algorithm. Available from: https://emergencycare.nhmrc.gov.au/blog/files/ Cervical%20spine%20imaging%20request%20form%20including%20NEXUS%20criteria%20a lgorithm.pdf
25. SE Slack MJ Clancy 2004 Clearing the cervical spine of the paediatric trauma patients Emerg Med J 21 189 193 1:STN:280:DC%2BD2c%2FpslOisQ%3D%3D 10.1136/emj.2003.012310 14988345
26. M Touger P Gennis N Nathanson DW Lowery CV Pollack Jr JR Hoffman WR Mower 2002 Validity of a decision rule to reduce cervical spine radiography in elderly patients with blunt trauma Ann Emerg Med 40 287 293 10.1067/mem.2002. 125708 12192352
27. OC West MM Anbari TK Pilgram AJ Wilson 1997 Acute cervical spine trauma: diagnostic performance of single-view versus three-view radiographic screening Radiology 204 819 823 1:STN:280:DyaK2svisVentg%3D%3D 9280266