Efficacy of radiographic evaluation of the cervical spine in emergency situations

R. W. Lindsey, T. C. Diliberti, B. J. Doherty, A. B. Watson

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Evaluation of trauma to the cervical spine usually includes predominantly normal x-ray studies that prevent expeditious workup and treatment and increase cost. In a retrospective review of the cases of 1,686 consecutive trauma patients who had routine radiographs for possible injury to the cervical spine, injuries were detected in 32 (1.9%). In a similar consecutive group of 597 patients whose cases were more critically analyzed prospectively, 17 (2.8%) had suspected injuries; of these, five (0.8%) were true positives. All patients in the prospective group with suspected injuries had neck pain, neurologic deficit, or altered consciousness, suggesting that emergency radiographic screening according to more selective clinical criteria may be feasible.

Original languageEnglish (US)
Pages (from-to)1253-1255
Number of pages3
JournalSouthern medical journal
Volume86
Issue number11
DOIs
StatePublished - Nov 1993
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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