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Journal Articles on Spinal Injuries

» Cervical Spine Clearance in Unconscious Traumatic Brain Injury Patients: Dynamic Flexion-Extension Fluoroscopy versus Computed Tomography with Three-Dimensional Reconstruction
A study from the Alfred Hospital in Melbourne showed "Dynamic flexion-extension X-ray studies with fluoroscopy delayed cervical spine clearance and were almost always reported as normal. In a cervical spine clearance protocol for unconscious traumatic brain injury patients, dynamic flexion-extension X-ray studies with fluoroscopy did not identify any patients with cervical fracture or instability not already identified by plain radiographs and fine-cut CT (C0 to T2) with 3D reconstructions." Padayachee et al. Journal of Trauma-Injury Infection & Critical Care. 60(2):341-345, February 2006. [Read More...]

» Helical Computed Tomographic Scanning for the Evaluation of the Cervical Spine in the Unconscious, Intubated Trauma Patient.
“Helical CT scanning of the cervical spine allows rapid and safe evaluation of the cervical spine in the unconscious, intubated trauma patient." Brohi et al. Journal of Trauma-Injury Infection & Critical Care. 58(5):897-901, May 2005. [Read More...]

» The Canadian C-Spine Rule for Radiography in Alert and Stable Trauma Patients
"We have derived the Canadian C-Spine Rule, a highly sensitive decision rule for use of C-spine radiography in alert and stable trauma patients. If prospectively validated in other cohorts, this rule has the potential to significantly reduce practice variation and inefficiency in ED use of C-spine radiography." Stiell et al. JAMA. 286(15):1841-1848, October 17, 2001. [Read More...]

» Validity of a Set of Clinical Criteria to Rule Out Injury to the Cervical Spine in Patients with Blunt Trauma (NEXUS I Study)
"A simple decision instrument based on clinical criteria can help physicians to identify reliably the patients who need radiography of the cervical spine after blunt trauma. Application of this instrument could reduce the use of imaging in such patients." Hoffman et al. New England Journal of Medicine. 343(2):94-99, July 13, 2000. [Read More...]

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