The presence of nonthoracic distracting injuries does not affect the initial clinical examination of the cervical spine in evaluable blunt trauma patients: A prospective observational study

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 3, 2011, Pages 528-532

  Konstantinidis, Agathoklis ^a   Plurad, David ^a   Barmparas, Galinos ^a   Inaba, Kenji ^a   Lam, Lydia ^a   Bukur, Marko ^a   Branco, Bernardino C ^a   Demetriades, Demetrios ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

Blunt; Cervical spine; Distracting injuries; Trauma

Indexed keywords

ADULT; ARM FRACTURE; BLUNT TRAUMA; BONE EXAMINATION; CERVICAL SPINE; CERVICAL SPINE INJURY; CLINICAL EXAMINATION; DISTRACTING INJURY; FEMALE; HUMAN; INJURY; LEG FRACTURE; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; REVIEW; RIB FRACTURE; SENSITIVITY ANALYSIS; SKIN BRUISING; THORAX PAIN;

ADULT; AGED; CERVICAL VERTEBRAE; FEMALE; HUMANS; MALE; MIDDLE AGED; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; SPINAL INJURIES; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 80052716515     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181f8a8e0     Document Type: Review

References (16)

1. Hoffman JR, Wolfson AB, Todd K, Mower WR. Selective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS). Ann Emerg Med. 1998;32: 461-469. (Pubitemid 28495776)
2. Eastern Association for the Surgery of Trauma (EAST) Guidelines. Determination of cervical spine stability in trauma. 2006. Available at: http://www.east.org. Accessed March 2, 2010.
3. Velmahos GC, Theodorou D, Tatevossian R, et al. Radiographic cervical spine evaluation in the alert asymptomatic blunt trauma victim: much ado about nothing. J Trauma. 1996;40:768-774. (Pubitemid 26142761)
4. Roberge RJ, Wears RC, Kelly M, et al. Selective application of cervical spine radiography in alert victims of blunt trauma: a prospective study. J Trauma. 1988;28:784-788.
5. Gonzalez RP, Fried PO, Bukhalo M, Holevar MR, Falimirski ME. Role of clinical examination in screening for blunt cervical spine injury. J Am Coll Surg. 1999;189:152-157. (Pubitemid 29364687)
6. Hoffman JR, Schriger DL, Mower W, Luo JS, Zucker M. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med. 1992;21:1454-1460.
7. Gatrell CB. "Asymptomatic" cervical injuries: a myth? Am J Emerg Med. 1985;3:263-265.
8. Plunkett PK, Redmond AD, Billsborough SH. Cervical subluxation: a deceptive soft tissue injury. J R Soc Med. 1987;80:46-47. (Pubitemid 17228093)
9. Rifkinson-Mann S, Mormino J, Sachdev VP. Subacute cervical spine instability. Surg Neurol. 1986;26:413-416. (Pubitemid 16018339)
10. Cox GR, Barish RA. Delayed presentation of unstable cervical spine injury with minimal symptoms. J Emerg Med. 1991;9:123-127.
11. Webb JK, Broughton RB, McSweeney T, Park WM. Hidden flexion injury of the cervical spine. J Bone Joint Surg Br. 1976;58:322-327.
12. Sweeney JF, Rosemurgy AS, Gill S, Albrink MH. Is the cervical spine clear? Undetected cervical fractures diagnosed only at autopsy. Ann Emerg Med. 1992;21:1288-1290.
13. Huda W, Bissessur K. Effective dose equivalents, HE, in diagnostic radiology. Med Phys. 1990;17:998-1003.
14. Panacek EA, Mower WR, Holmes JF, Hoffman JR; NEXUS Group. Test performance of the individual NEXUS low-risk clinical screening criteria for cervical spine injury. Ann Emerg Med. 2001;38: 22-25. (Pubitemid 32606025)
15. 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)
16. Heffernan DS, Schermer CR, Lu SW. What defines a distracting injury in cervical spine assessment? J Trauma. 2005;59:1396-1399.