Orthopedics Book

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Cervical Spine XRay in Acute Traumatic InjuryAka: Cervical Spine XRay, C-Spine XRay

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

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