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Titolo:
Role of flexion-extension radiographs in blunt pediatric cervical spine injury
Autore:
Ralston, ME; Chung, K; Barnes, PD; Emans, JB; Schutzman, SA;
Indirizzi:
Harvard Univ, Childrens Hosp, Sch Med, Dept Med,Div Emergency Med, Boston,MA 02115 USA Harvard Univ Boston MA USA 02115 d,Div Emergency Med, Boston,MA 02115 USA Harvard Univ, Childrens Hosp, Sch Med, Dept Radiol, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 h Med, Dept Radiol, Boston, MA 02115 USA Harvard Univ, Childrens Hosp, Sch Med, Dept Orthoped Surg, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 Dept Orthoped Surg, Boston, MA 02115 USA
Titolo Testata:
ACADEMIC EMERGENCY MEDICINE
fascicolo: 3, volume: 8, anno: 2001,
pagine: 237 - 245
SICI:
1069-6563(200103)8:3<237:ROFRIB>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAGNETIC-RESONANCE; DELAYED DIAGNOSIS; WHIPLASH INJURIES; CORD INJURY; TRAUMA; CHILDREN; INSTABILITY; RECOMMENDATIONS; ABNORMALITIES;
Keywords:
child; cervical spine; injury; radiographs; flexion; extension;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Ralston, ME USN, Med Ctr, Dept Emergency Med, 27 Effingham St, Portsmouth,VA 23708 USA USN 27 Effingham St Portsmouth VA USA 23708 outh, VA 23708 USA
Citazione:
M.E. Ralston et al., "Role of flexion-extension radiographs in blunt pediatric cervical spine injury", ACAD EM MED, 8(3), 2001, pp. 237-245

Abstract

Objective: To determine whether flexion-extension cervical spine radiography (FECSR) is abnormal in children who have sustained blunt cervical spine injury (CSI) when standard cervical spine radiography (SCSR) demonstrates no acute abnormalities. Methods: This was a blinded radiographic review of 129 patients less than or equal to 16 years of age evaluated at an academic pediatric trauma center during July 1990-March 1996. All patients had SCSR (anteroposterior/lateral views) and FECSR performed for a trauma-related event within seven days of injury. Results: Of 46 patients without acute abnormalities on SCSR, one patient (with final clinical diagnosis of "no CSI") had acute abnormalities on FECSR (95% CI = 0.06% to 11.5%). Of 50 patients with isolated loss of lordosis on SCSR, no patient had acute abnormalities on FECSR (95% CI = 0% to 5.8%). The FECSR review revealed no acute abnormalities in 75 of 83 patients (90.4%) with suspicious findings for CSI viewed on SCSR (95% CI = 81.9% to 95.7%). Complications during FECSR were noted inone patient with transient paresthesias (0.8%) (95% CI = 0.02% to 4.2%). Conclusions: In children who underwent acute radiographic evaluation of blunt cervical spine trauma, FECSR was unlikely to be abnormal when no acute abnormality or isolated loss of lordosis was evident on SCSR. In a subset of patients with suspicious findings for occult CSI on SCSR, FECSR was useful in ruling out ligamentous instability in the acute, posttrauma setting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 16:45:12