NEXUS cervical spine rule

Rule

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

• No midline cervical tenderness
• No focal neuro deficits
• Normal alertness
• No intoxication
• 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