NEXUS cervical spine rule: Difference between revisions

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Radiologically identified c spine inj not clinically significant
The following cervical spine injuries are not clinically significant:
 
*spinous process fx
- spinous process fx
*simple wedge compression fx < 25%
 
*isolated avulsion s lig inj
- simple wedge compression fx < 25%
*type 1 odontoid fx
 
*end plate fx
- isolated avvlsion s lig inj
*inj to trabecular bone
 
*transverse process fx
- type 1 odontoid fx
 
- end plate fx
 
- inj to trabecular bone
 
- transverse process fx
 


==Source==
==Source==


UpToDate
UpToDate


[[Category:Trauma]]
[[Category:Trauma]]

Revision as of 23:21, 1 April 2011

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

Source

UpToDate