Canadian cervical spine rule compared with computed tomography: A prospective analysis

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 2, 2011, Pages 352-357

  Duane, Therèse M ^a   Wilson, Sean P ^a   Mayglothling, Julie ^a   Wolfe, Luke G ^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

Canadian cervical spine trial; Cervical spine fracture; Clinical examination; Computed tomography

Indexed keywords

ADULT; ALGORITHM; ARTICLE; BLUNT TRAUMA; CANADA; CANADIAN CERVICAL SPINE RULE; CERVICAL SPINE FRACTURE; CERVICAL SPINE RADIOGRAPHY; CLINICAL ASSESSMENT; CLINICAL EXAMINATION; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC TEST; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; GLASGOW COMA SCALE; GOLD STANDARD; HUMAN; INDEPENDENT VARIABLE; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; SYSTOLIC BLOOD PRESSURE; VALIDATION STUDY;

ADULT; ALGORITHMS; CANADA; CERVICAL VERTEBRAE; DECISION SUPPORT TECHNIQUES; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SPINAL FRACTURES; TOMOGRAPHY, X-RAY COMPUTED; TRAUMATOLOGY; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 80051713360     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e318220a98c     Document Type: Article

References (19)

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. (Pubitemid 30451852)
2. Bub LD, Blackmore CC, Mann FA, Lomoschitz FM. Cervical spine fractures in patients 65 years and older: a clinical prediction rule for blunt trauma. Radiology. 2005;234:143-149. (Pubitemid 39658380)
3. Thompson WL, Stiell IG, Clement CM, Brison RJ. Association of injury mechanism with the risk of cervical spine fractures. CJEM. 2009;11:14-22.
4. Stiell IG, Wells GA, Vandemheen KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286:1841-1848. (Pubitemid 33010235)
5. 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;349:2510-2518. (Pubitemid 38010077)
6. Duane TM, Dechert T, Wolfe LG, Aboutanos MB, Malhotra AK, Ivatury RR. Clinical examination and its reliability in identifying cervical spine fractures. J Trauma. 2007;62:1405-1408. (Pubitemid 46918741)
7. Duane TM, Maylglothling J, Wilson SP, et al. NEXUS criteria is inadequate to rule out fracture after significant blunt trauma compared to CT. J Trauma. In press.
8. Dickinson G, Stiell IG, Schull M, et al. Retrospective application of the NEXUS low-risk criteria for cervical spine radiography in Canadian emergency departments. Ann Emerg Med. 2004;43:507-514. (Pubitemid 38436541)
9. Besman A, Kaban J, Jacobs L, Jacobs LM. False-negative plain cervical spine x-rays in blunt trauma. Am Surg. 2003;69:1010-1014.
10. DiGiacomo JC, Frankel HL, Rotondo MF. Clearing the cervical spine in victims of blunt trauma. Mil Med. 2002;167:398-401. (Pubitemid 34553116)
11. 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.
12. 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)
13. 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.
14. 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.
15. 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.
16. 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;67:651-659.
17. Stiell IG, Clement CM, Grimshaw J, et al. Implementation of the Canadian C-spine Rule: prospective 12 centre cluster randomised trial. BMJ. 2009:1-7.
18. Rethnam U, Yesupalan R, Gandham G. Does applying the Canadian cervical spine rule reduce cervical spine radiography rates in alert patients with blunt trauma to the neck? A retrospective analysis. BMC Med Imaging. 2008:8-12.
19. Stiell IG, Wells GA, McKnight D, et al. Canadian C-spine rule study for alert and stable trauma patients: II Study objectives and methodology. CJEM. 2002:185-193.