Description

Blackmore et al used a number of clinical findings to predict the risk of significant cervical spine injury in a trauma patient. These can help determine if imaging studies of the cervical spine are indicated. The authors are from the University of North Carolina at Chapel Hill and the University of Washington in Seattle.


 

Parameters:

(1) age in years

(2) energy of the traumatic event

(3) severe head injury

(4) focal neurological deficit

 

Focal Neurological Deficit

Severe Head Injury

Energy of Event

Age in Years

Cervical Spine Fracture

Y

NA

NA

NA

20%

N

Y

NA

NA

7%

N

N

low

<= 50

0.04%

N

N

low

> 50

0.5%

N

N

moderate

<= 50

0.4%

N

N

moderate

> 50

2.2%

N

N

high

<= 50

1.1%

N

N

high

> 50

1.9%

 


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