BIOMAT Database Logo BIOMAT Database Logo

Reliability of indications for cervical spine films in trauma patients. 1989

D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Department of Radiology, Indiana University Regional Critical Care and Trauma Center/Wishard Memorial Hospital, Indianapolis 46202.

Common emergency room practice mandates cervical spine (C-spine) films in all trauma patients with potential injuries. With the increasing costs of medical care, such liberal criteria may not be justified. This 1-year prospective study of 860 patients who presented to a Level I Trauma Center was undertaken to determine the signs and symptoms that would select the patients at risk of C-spine injury. The clinical presentation of each patient was correlated with the presence of C-spine fracture. Twenty-four patients (2.8%) had injuries demonstrated by plain film radiography. The incidence of fracture in 536 symptomatic patients was 4%. A significant likelihood of C-spine fracture was seen in patients with respiratory compromise (100%), motor dysfunction (54.5%), and altered sensorium (8.9%) (p less than 0.001). No fractures were seen in asymptomatic patients (p less than 0.001). Cervical spine radiography should be performed in patients with abnormal neurologic findings or symptoms referable to the neck. In alert asymptomatic patients, cervical spine radiography may be omitted.

UI MeSH Term Description Entries
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002574 Cervical Vertebrae The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK. Cervical Spine,Cervical Spines,Spine, Cervical,Vertebrae, Cervical
D003362 Cost-Benefit Analysis A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. In contrast a cost effectiveness in general compares cost with qualitative outcomes. Cost and Benefit,Cost-Benefit Data,Benefits and Costs,Cost Benefit,Cost Benefit Analysis,Cost-Utility Analysis,Costs and Benefits,Economic Evaluation,Marginal Analysis,Analyses, Cost Benefit,Analysis, Cost Benefit,Analysis, Cost-Benefit,Analysis, Cost-Utility,Analysis, Marginal,Benefit and Cost,Cost Benefit Analyses,Cost Benefit Data,Cost Utility Analysis,Cost-Benefit Analyses,Cost-Utility Analyses,Data, Cost-Benefit,Economic Evaluations,Evaluation, Economic,Marginal Analyses
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D004630 Emergencies Situations or conditions requiring immediate intervention to avoid serious adverse results. Emergency
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014193 Trauma Centers Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients. Trauma Units,Center, Trauma,Centers, Trauma,Trauma Center,Trauma Unit,Unit, Trauma,Units, Trauma
D050723 Fractures, Bone Breaks in bones. Bone Fractures,Broken Bones,Spiral Fractures,Torsion Fractures,Bone Fracture,Bone, Broken,Bones, Broken,Broken Bone,Fracture, Bone,Fracture, Spiral,Fracture, Torsion,Fractures, Spiral,Fractures, Torsion,Spiral Fracture,Torsion Fracture

Related Publications

D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Clinical indications for cervical spine radiographs in alert trauma patients.
June 1991, The American surgeon,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
[Biomechanical indications for spondylodesis in trauma of the cervical spine].
October 1977, Ortopediia travmatologiia i protezirovanie,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Interrater reliability of cervical spine injury criteria in patients with blunt trauma.
February 1998, Annals of emergency medicine,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Videofluoroscopy in cervical spine trauma: an interinterpreter reliability study.
January 1994, Journal of manipulative and physiological therapeutics,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Redundancy of portable cervical spine films in the trauma suite.
March 1999, The American journal of emergency medicine,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Posterior stabilization of subaxial cervical spine trauma: indications and techniques.
July 2005, Injury,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Re: Cervical spine MRI in blunt cervical trauma patients.
December 2018, The journal of trauma and acute care surgery,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Cervical spine clearance in adult trauma patients.
February 2019, JAAPA : official journal of the American Academy of Physician Assistants,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Cervical spine clearance in adult trauma patients.
April 2003, JAAPA : official journal of the American Academy of Physician Assistants,
D L Kreipke, and K R Gillespie, and M C McCarthy, and J T Mail, and J C Lappas, and T A Broadie
Radiology of the cervical spine in trauma patients.
March 1991, AJR. American journal of roentgenology,
Copied contents to your clipboard!