PMID: 16512654Mar 4, 2006Paper

Cervical spine clearance after trauma in children

Neurosurgical Focus
Richard C E AndersonDouglas L Brockmeyer

Abstract

Currently, no diagnostic or procedural standards exist for clearing the cervical spine in children after trauma. The purpose of this study was to determine if reeducation of nonneurosurgical personnel and initiation of a new protocol based on the National Emergency X-Radiography Utilization Study criteria could safely increase the number of pediatric cervical spines cleared of suspected injury without a neurosurgical consultation. Data regarding cervical spine clearance in children (ages 0-18 years) after trauma protocol activation at Primary Children's Medical Center between 2001 and 2005 were collected and reviewed. Radiographic and clinical methods of clearing the cervical spine as well as the type and management of injuries were determined for two time frames: Period I (January 2001-December 2003) and Period II (January 2004-July 2005). Between 2001 and 2003, 95% of 936 cervical spines were cleared of suspected injury by the neurosurgical service. Twenty-one ligamentous injuries (2.2%) and 12 fracture-dislocations (1.3%) were detected, with five patients requiring surgical stabilization (0.5%). Between January 2004 and July 2005, 507 (68%) of 746 cervical spines were cleared by nonneurosurgical personnel. Six ligamentous in...Continue Reading

References

Sep 1, 1987·The Journal of Trauma·S E RossC T Born
Aug 3, 2001·Pediatrics·P ViccellioUNKNOWN NEXUS Group
Nov 15, 2002·Neurosurgery·M N HadleyT C Ryken
Nov 22, 2002·Accident and Emergency Nursing·C McCarthy, E Oakley
Feb 28, 2004·Emergency Medicine Journal : EMJ·S E Slack, M J Clancy

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Citations

Mar 3, 2010·Journal of Neurosurgery. Pediatrics·Richard C E AndersonDouglas L Brockmeyer
Dec 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·C SchönebergC Waydhas
Oct 30, 2007·Journal of the American College of Radiology : JACR·Richard H Daffner, David B Hackney
Apr 25, 2012·AJR. American Journal of Roentgenology·Timothy N Booth
Feb 28, 2008·Neurosurgery·Hugh J L Garton, Matthew R Hammer
Nov 6, 2009·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Diana RopeleKaren J Vander Laan
Feb 4, 2014·Journal of Pediatric Orthopedics. Part B·Guanhua XuZhiming Cui
Nov 26, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Burak Eren, Feyza Karagoz Guzey
Oct 13, 2009·The Journal of Trauma·Lynn Hutchings, Keith Willett
Dec 8, 2017·The Cochrane Database of Systematic Reviews·Annelie SlaarRick R van Rijn
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Keiko Hikino, Loren G Yamamoto

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