NEXUS cervical spine rule: Difference between revisions

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==Rule==
==Rule==
Radiography is Unnecessary if pts satisfy ALL five of the following low risk criteria:
Radiography is Unnecessary if pts satisfy ALL five of the following low risk criteria:
* No midline cervical tenderness
# No midline cervical tenderness
* No focal neuro deficits
# No focal neuro deficits
* Normal alertness
# Normal alertness
* No intoxication
# No intoxication
* No painful distracting injury
# No painful distracting injury
 
==Treatment==
==Treatment==
The following cervical spine injuries are not clinically significant:
The following cervical spine injuries are not clinically significant:

Revision as of 20:32, 16 July 2011

Rule

Radiography is Unnecessary if pts satisfy ALL five of the following low risk criteria:

  1. No midline cervical tenderness
  2. No focal neuro deficits
  3. Normal alertness
  4. No intoxication
  5. No painful distracting injury

Treatment

The following cervical spine injuries are not clinically significant:

  • spinous process fx
  • simple wedge compression fx < 25%
  • isolated avulsion s lig inj
  • type 1 odontoid fx
  • end plate fx
  • inj to trabecular bone
  • transverse process fx

See Also

C-Spine X-Ray

Source

UpToDate