Document Detail


Cervical spine - assessment following trauma.
MedLine Citation:
PMID:  22472679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although cervical spine trauma is more common following high velocity mechanisms of injury resulting in multiple injuries, falls and low velocity mechanisms may also result in serious cervical spine injury.
OBJECTIVE: This article describes the assessment and management of potential cervical spine injury in the primary care setting.
DISCUSSION: Patients presenting following trauma should be assessed for risk of cervical spine injury according to one of two evidence based decision rules. If the nominated decision rule indicates high risk of injury, cervical spine imaging is indicated. An accurate history, physical examination and radiographic screening are required, preferably with computed tomography imaging, or five-view plain X-ray if computed tomography is unavailable. Magnetic resonance imaging should be considered in patients with neurologic symptoms or advanced cervical degenerative disease, as these patients are at particular risk of acute disc and ligamentous injury following trauma.
Authors:
Helen Ackland; Peter Cameron
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  41     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-04     Completed Date:  2012-09-13     Revised Date:  2013-01-22    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  196-201     Citation Subset:  IM    
Affiliation:
National Trauma Research Institute, Critical Care Research Division, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria. h.ackland@alfred.org.au
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MeSH Terms
Descriptor/Qualifier:
Humans
Spinal Injuries / complications,  diagnosis*
Spondylosis / radiography
Tomography Scanners, X-Ray Computed
Triage*
Comments/Corrections
Comment In:
Aust Fam Physician. 2012 Dec;41(12):919; author reply 919-20

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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