Evaluation and Management of Acute Cervical Spine Trauma

Pimentel, Laura; Diegelmann, Laura

doi:10.1016/j.emc.2010.07.003

Cited by 40 publications

(23 citation statements)

References 38 publications

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“…Patients presenting with injuries suspicious for acute cervical spine (C‐spine) injury are common in the emergency department (ED) with over 800,000 patients treated annually in United States . While imaging for alert, stable adult patients with neck trauma may be ordered to rule out the possibility of clinically significant injury, the diagnostic yield of these images is relatively low (<1%) . Given the infrequency of clinically significant findings, many of these images—particularly for lower‐risk patients—may be avoidable with the application of a clinical decision rule (CDR), thereby decreasing patient exposure to radiation, minimizing health care expenditures for the patient and contributing to patient satisfaction .…”

mentioning

confidence: 99%

Effectiveness of Implementing Evidence‐based Interventions to Reduce C‐spine Image Ordering in the Emergency Department: A Systematic Review

Desai

Liu

Kirkland

et al. 2018

Academic Emergency Medicine

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mentioning

confidence: 99%

Effectiveness of Implementing Evidence‐based Interventions to Reduce C‐spine Image Ordering in the Emergency Department: A Systematic Review

Desai

Liu

Kirkland

et al. 2018

Academic Emergency Medicine

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“…In the present case, although traumatic injuries of the cervical spine caused spinal cord compression, the animal still reacted to pain perception tests. Prompt medical management with glucocorticoids in the acute phase followed by surgical correction might have led to a more favorable prognosis (6,7,9,11). However, since treatment was not initiated early in the disease process, the prognosis for this animal was poor.…”

Section: Discussionmentioning

confidence: 98%

“…Traumatic injuries of the cervical spine are often associated with compression, distraction or rotation/translation (10,15). The majority of cervical spine injuries occur at the upper end of the cervical spine, and the second vertebra is the most common location for fractures or dislocations which may result from the impact of an exogenous force (11). However, neurological injury is the critical indicator of the severity of spinal disorders (10, 15).…”

Section: Introductionmentioning

confidence: 99%

Multiple subluxations and comminuted fracture of the cervical spine in a sheep

Lin¹,

Chen²,

Lin³

et al. 2015

Tierarztl Prax Ausg G

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A 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1-C2 and C2-C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

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“…Various immobilization techniques exist with no comparative study to identify the optimal approach [9]; nonetheless, stabilization decreases mortality rate and complete spinal cord lesion from 55% to 39% [10].…”

Section: Discussionmentioning

confidence: 99%

Pentaplegia and Facial Bone Fracture: A Survivable Injury

K¹

2015

J Spine

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Pentaplegia is a spinal cord injury at or above C4 level, resulting in complete loss of motor functions below the injury level and paralysis of respiratory muscles. Facial injuries might be a factor for early identification of these patients and in implying prompt management. Here, we report a patient who was injured in a motor vehicle accident and sustained facial injury and cardiopulmonary symptoms. His imaging studies showed atlanto-axial dissociation and maxillary fracture. He survived the accident but continued to have pentaplegia. Presence of facial fractures might help in suspicion and early identification of such injuries, where prompt management remains essential for survival in complete pentaplegia and for avoiding deterioration in incomplete injuries.

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Evaluation and Management of Acute Cervical Spine Trauma

Cited by 40 publications

References 38 publications

Effectiveness of Implementing Evidence‐based Interventions to Reduce C‐spine Image Ordering in the Emergency Department: A Systematic Review

Effectiveness of Implementing Evidence‐based Interventions to Reduce C‐spine Image Ordering in the Emergency Department: A Systematic Review

Multiple subluxations and comminuted fracture of the cervical spine in a sheep

Pentaplegia and Facial Bone Fracture: A Survivable Injury

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