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A 64-slice CT with reconstructions does not entirely rule out ligamentous injury leading to instability, but is a practical means of identifying the majority of C-spine injuries in obtunded patients. MR C-spine has frequent false-positives, limiting its usefulness. [citation needed] In these cases, a consultation with a Spine Surgery specialist ...
There are two main algorithms, the Canadian C-spine rule and NEXUS, which are used to decide who requires cervical spine imaging via CT scan [6] after blunt trauma, and who can be cleared without imaging. [4] The Canadian C-spine rule appears to have greater sensitivity and specificity (i.e. fewer false positives and false negatives). [17]
A medical history and physical examination can be sufficient in clearing the cervical spine. Notable clinical prediction rules to determine which patients need medical imaging are Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS). [2]
This practice has come under review recently as incidence rates of unstable spinal trauma can be as low as 2% in immobilized patients. In clearing the cervical spine, Canadian studies have developed the Canadian C-Spine Rule (CCR) for physicians to decide who should receive radiological imaging. [9]
MDCalc is a free online medical reference for healthcare professionals that provides point-of-care clinical decision-support tools, including medical calculators, scoring systems, and algorithms. [1] MDCalc is also a mobile and web app. [ 2 ] The decision-support tools are based on published clinical research, [ 3 ] and MDCalc’s content is ...
Related: Ariana Grande and Ethan Slater's Relationship Timeline Jay wrote that "people from [her] past have reached out to say they saw my face in a tabloid," in relation to the controversy. But ...
Conference foes No. 17 BYU and No. 23 Colorado will square off on Saturday night in the Alamo Bowl in San Antonio. The Cougars (10-2) and Buffaloes (9-3) once had their sights set on a Big 12 ...
In order to prevent further injury, such people may have a collar placed by medical professionals until X-rays can be taken to determine if a cervical spine fracture exists. [5] Medical professionals will often use the NEXUS criteria and/or the Canadian C-spine rules to clear a cervical collar and determine the need for imaging.