NEXUS cervical spine rule

Revision as of 23:21, 1 April 2011 by Jswartz (talk | contribs)

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

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