The American Journal of Surgery
Volume 196, Issue 6 , Pages 857-863 , December 2008

Screening cervical spine MRI after normal cervical spine CT scans in patients in whom cervical spine injury cannot be excluded by physical examination

Received 3 May 2008 ,Revised 3 July 2008

References 

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  2. Hoffman JR, Mower WR, Wolfson AB, et al. National Emergency X-Radiography Utilization Study Group (Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma). N Engl J Med. 2000;343:94–99
  3. Ajani AE, Cooper DJ, Scheinkestel CD, et al. Optimal assessment of cervical spine trauma in critically ill patients: a prospective evaluation. Anaesthesiol Intens Care. 1998;26:487–491
  4. Barba CA, Taggert J, Morgan AS, et al. A new cervical spine clearance protocol using computed tomography. J Trauma. 2001;51:652–656
  5. Stassen NA, Williams VA, Gestring ML, et al. Magnetic resonance imaging in combination with helical computed tomography provides a safe and efficient method of cervical spine clearance in the obtunded trauma patient. J Trauma. 2006;60:171–177
  6. Richards PJ. Cervical spine clearance: a review. Injury. 2005;36:248–269
  7. Muchow RD, Resnick DK, Abdel MP, et al. Magnetic resonance imaging (MRI) in the clearance of the cervical spine in blunt trauma: a meta-analysis. J Trauma. 2008;64:179–189
  8. Horn EM, Lekovic GP, Feiz-Erfan I, et al. Cervical magnetic resonance imaging abnormalities not predictive of cervical spine instability in traumatically injured patients (Invited submission from the joint section meeting on disorders of the spine and peripheral nerves). J Neurosurg Spine. 2004;1:39–42
  9. Hogan GJ, Mirvis SE, Shanmuganathan K, et al. Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal?. Radiology. 2005;237:106–113
  10. Ackland HM, Cooper DJ, Malham GM, et al. Factors predicting cervical collar-related decubitus ulceration in major trauma patients. Spine. 2007;32:423–428
  11. Como JJ, Thompson MA, Anderson JS, et al. Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma?. J Trauma. 2007;63:544–549
  12. Menaker J, Philp A, Boswell S, et al. Computed tomography alone for cervical spine clearance in the unreliable patient—are we there yet?. J Trauma. 2008;64:898–904
  13. Tomycz ND, Chew BG, Chang YF, et al. MRI is unnecessary to clear the cervical spine in obtunded/comatose trauma patients: the four-year experience of a level I trauma center. J Trauma. 2008;64:1258–1263
  14. Ghanta MK, Smith LM, Polin RS, et al. An analysis of eastern association for the surgery of trauma practice guidelines for cervical spine evaluation in a series of patients with multiple imaging techniques. Am Surg. 2002;68:563–567
  15. Adams JM, Cockburn MI, Difazio LT, et al. Spinal clearance in the difficult trauma patient: a role for screening MRI of the spine. Am Surg. 2006;72:101–105

PII: S0002-9610(08)00665-X

doi: 10.1016/j.amjsurg.2008.07.040

The American Journal of Surgery
Volume 196, Issue 6 , Pages 857-863 , December 2008