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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 the Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS).
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]
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. The routine use of a cervical collar is not recommended. [2] [3] [6] Cervical collars are also used therapeutically to help realign the spinal cord and relieve pain, [7] although they are ...
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]
The Spurling test is used during a spinal or neck examination to aid in the diagnosis and assessment of cervical radiculopathy. It should be used to assess patients with radicular symptoms. The results of this test can guide a clinician when considering further imaging and necessary steps needed to make a proper diagnosis.
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). [4] The AO Foundation has developed a descriptive system for cervical ...
The spine (that is, the vertebral column. A projectional radiograph of the spine confers an effective dose of approximately 1.5 mSv, comparable to a background radiation equivalent time of 6 months. Cervical spine: The standard projections in the UK AP and Lateral. Peg projection with trauma only.