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Cervical Spine XRay in Acute Traumatic Injury
Aka: Cervical Spine XRay in Acute Traumatic Injury, Cervical Spine XRay, C-Spine XRay
- See Also
- Cervical Spine XRay in Disc Herniation
- Indications: XRay in Acute Traumatic Injury
- Strong indications
- Mental status less than alert or patient intoxicated
- Focal neurologic deficit
- Posterior midline neck tenderness
- Patient reports Neck Pain
- Other indications
- Distracting injury (extremity Fracture)
- Respiratory abnormality
- Neck spasm
- Protocol: XRay views - Acute Traumatic Injury
- CT C-Spine is largely replacing XRay in the U.S. for acute trauma in adults
- Cross-Table Lateral C-Spine film
- Sensitivity 80-90% of cervical Fractures
- Must be adequate prior to other views
- AP C-Spine
- Open Mouth Odontoid view
- Protocol: Confirmatory imaging
- Oblique C-Spine XRay (shows foramen)
- Flexion-Extension XRay
- CT C-Spine
- MRI C-Spine
- References
- Hoffman (2000) N Engl J Med 343:94-9