NEXUS cervical spine rule: Difference between revisions
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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 | ||
| Line 7: | Line 6: | ||
* 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: | ||
*spinous process fx | *spinous process fx | ||
| Line 19: | Line 15: | ||
*inj to trabecular bone | *inj to trabecular bone | ||
*transverse process fx | *transverse process fx | ||
==See Also== | |||
[[C-Spine X-Ray]] | |||
==Source== | ==Source== | ||
UpToDate | UpToDate | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Neuro]] | |||
[[Category:Ortho]] | |||
[[Category:Rads]] | |||
Revision as of 21:46, 4 July 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
See Also
Source
UpToDate