The pediatric cervical spine instability study: A pilot study assessing the prognostic value of four imaging modalities in clearing the cervical spine for children with severe traumatic injuries

Child's Nervous System

Volumn 28, Issue 5, 2012, Pages 699-705

  Brockmeyer, Douglas L ^a   Ragel, Brian T ^b   Kestle, John R W ^a  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

Cervical spine; Imaging; Pediatrics; Trauma

Indexed keywords

ADOLESCENT; ARTICLE; CERVICAL SPINE INJURY; CERVICAL SPINE RADIOGRAPHY; CHILD; CLINICAL ARTICLE; COMATOSE PATIENT; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FLUOROSCOPY; HUMAN; INFANT; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRESCHOOL CHILD; PRIORITY JOURNAL; SCHOOL CHILD; SENSITIVITY AND SPECIFICITY; SPINE INSTABILITY;

ADOLESCENT; CERVICAL VERTEBRAE; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INJURY SEVERITY SCORE; JOINT INSTABILITY; MAGNETIC RESONANCE IMAGING; MALE; PILOT PROJECTS; PROGNOSIS; PROSPECTIVE STUDIES; SPINAL INJURIES; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA SEVERITY INDICES;

EID: 84859875662     PISSN: 02567040     EISSN: 14330350     Source Type: Journal    
DOI: 10.1007/s00381-012-1696-x     Document Type: Article

References (29)

1. Grabb PA (2002) Management of pediatric cervical spine and spinal cord injuries. Neurosurgery 50: S85-S99
2. Anderson RC, Kan P, Vanaman M, Rubsam J, Hansen KW, Scaife ER, Brockmeyer DL (2010) Utility of a cervical spine clearance protocol after trauma in children between 0 and 3 years of age. J Neurosurg Pediatr 5:292-296
3. Brunetti MA, Mahesh M, Nabaweesi R, Locke P, Ziegfeld S, Brown R (2011) Diagnostic radiation exposure in pediatric trauma patients. J Trauma 70(2):E24-E28
4. Committee on Trauma - American College of Surgeons (2008) ATLS Advanced Trauma Life Support Program for Doctors. American College of Surgeons, Chicago
5. Como JJ, Thompson MA, Anderson JS, Shah RR, Claridge JA, Yowler CJ, Malangoni MA (2007) Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma? J Trauma 63:544-549
6. Como JJ, Diaz JJ, Dunham CM, Chiu WC, Duane TM, Capella JM, Holevar MR, Khwaja KA, Mayglothling JA, Shapiro MB, Winston ES (2009) 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 67:651-659
7. D'Alise MD, Benzel EC, Hart BL (1999) Magnetic resonance imaging evaluation of the cervical spine in the comatose or obtunded trauma patient. J Neurosurg 91:54-59
8. Davis JW, Kaups KL, Cunningham MA, Parks SN, Nowak TP, Bilello JF, Williams JL (2001) Routine evaluation of the cervicalspine in head-injured patients with dynamic fluoroscopy: a reappraisal. J Trauma 50:1044-1047 (Pubitemid 32591763)
9. Dunham CM, Brocker BP, Collier BD, Gemmel DJ (2008) Risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit. Crit Care 12:R89
10. Ghanta MK, Smith LM, Polin RS, Marr AB, Spires WV (2002) An analysis of Eastern Association for the Surgery of Trauma practice guidelines for cervical spine evaluation in a series of patients with multiple imaging techniques. Am Surg 68:563-567, discussion 567-568
11. Grogan EL, Morris JA Jr, Dittus RS, Moore DE, Poulose BK, Diaz JJ, Speroff T (2005) Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scan. J Am Coll Surg 200:160-165 (Pubitemid 40143204)
12. Harris TJ, Blackmore CC, Mirza SK, Jurkovich GJ (2008) Clearing the cervical spine in obtunded patients. Spine (Phila Pa 1976) 33:1547-1553
13. Hogan GJ, Mirvis SE, Shanmuganathan K, Scalea TM (2005) Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal? Radiology 237:106-113 (Pubitemid 41346153)
14. Keenan HT, Hollingshead MC, Chung CJ, Ziglar MK (2001) Using CT of the cervical spine for early evaluation of pediatric patients with head trauma. AJR Am J Roentgenol 177:1405-1409 (Pubitemid 33081490)
15. King MA, Kanal KM, Relyea-Chew A, Bittles M, Vavilala MS, Hollingworth W (2009) Radiation exposure from pediatric head CT: a bi-institutional study. Pediatr Radiol 39:1059-1065
16. Laham JL, Cotcamp DH, Gibbons PA, Kahana MD, Crone KR (1994) Isolated head injuries versus multiple trauma in pediatric patients: do the same indications for cervical spine evaluation apply? Pediatr Neurosurg 21:221-226, discussion 226
17. Marion D, Domeier R, Dunham C, Luchette F, Haid R, Erwood S, for the Eastern Association for the Surgery of Trauma Practice Parameter Workgroup for Cervical Spine Clearance (1998) Practice parameters for identifying cervical spine injuries following trauma. Eastern Association for the Surgery of Trauma, Chicago
18. Menaker J, Philp A, Boswell S, Scalea TM (2008) Computed tomography alone for cervical spine clearance in the unreliable patient - are we there yet? J Trauma 64:898-903, discussion 903-904
19. Osenbach RK, Menezes AH (1992) Pediatric spinal cord and vertebral column injury. Neurosurgery 30:385-390
20. Pang D, Nemzek WR, Zovickian J (2007) Atlanto-occipital dislocation - part 2: the clinical use of (occipital) condyle-C1 interval, comparison with other diagnostic methods, and the manifestation, management, and outcome of atlanto-occipital dislocation in children. Neurosurgery 61:995-1015, discussion 1015
21. Pang D, Nemzek WR, Zovickian J (2007) Atlanto-occipital dislocation: part 1-normal occipital condyle-C1 interval in 89 children. Neurosurgery 61:514-521, discussion 521
22. Pasquale M, Fabian T (1998) Practice management guidelines for trauma from the Eastern Association for the Surgery of Trauma. J Trauma 44:941-956
23. Pieretti-Vanmarcke R, Velmahos GC, Nance ML, Islam S, Falcone RA Jr, Wales PW, Brown RL, Gaines BA, McKenna C, Moore FO, Goslar PW, Inaba K, Barmparas G, Scaife ER, Metzger RR, Brockmeyer DL, Upperman JS, Estrada J, Lanning DA, Rasmussen SK, Danielson PD, Hirsh MP, Consani HF, Stylianos S, Pineda C, Norwood SH, Bruch SW, Drongowski R, Barraco RD, Pasquale MD, Hussain F, Hirsch EF, McNeely PD, Fallat ME, Foley DS, Iocono JA, Bennett HM, Waxman K, Kam K, Bakhos L, Petrovick L, Chang Y, Masiakos PT (2009) Clinical clearance of the cervical spine in blunt trauma patients younger than 3 years: a multi-centerstudy of the american association for the surgery of trauma. J Trauma 67:543-549, discussion 549-550
24. Prasad VS, Schwartz A, Bhutani R, Sharkey PW, Schwartz ML (1999) Characteristics of injuries to the cervical spine and spinal cord in polytrauma patient population: experience from a regional trauma unit. Spinal Cord 37:560-568 (Pubitemid 29385200)
25. Rice HE, Frush DP, Farmer D, Waldhausen JH (2007) Review of radiation risks from computed tomography: essentials for the pediatric surgeon. J Pediatr Surg 42:603-607 (Pubitemid 46589518)
26. Ruge JR, Sinson GP, McLone DG, Cerullo LJ (1988) Pediatric spinal injury: the very young. J Neurosurg 68:25-30 (Pubitemid 18019128)
27. Scarrow AM, Levy EI, Resnick DK, Adelson PD, Sclabassi RJ (1999) Cervical spine evaluation in obtunded or comatose pediatric trauma patients: a pilot study. Pediatr Neurosurg 30:169-175 (Pubitemid 29329857)
28. Sliker CW, Mirvis SE, Shanmuganathan K (2005) Assessing cervical spine stability in obtunded blunt trauma patients: review of medical literature. Radiology 234:733-739 (Pubitemid 40250816)
29. Tomycz ND, Chew BG, Chang YF, Darby JM, Gunn SR, Nicholas DH, Ochoa JB, Peitzman AB, Schwartz E, Pape HC, Spiro RM, Okonkwo DO (2008) MRI is unnecessary to clear the cervical spine in obtunded/comatose trauma patients: the four-year experience of a level I trauma center. J Trauma 64:1258-1263 (Pubitemid 351671221)