Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cervical spine clearance: a review.

Paula J Richards1

  • 1X-ray Department, University Hospital of North Staffordshire NHS Trust (UHNS), Princes Road, Hartshill, Stoke on Trent ST4 7LN, UK. paulaj.richards@uhns.nhs.uk

Injury
|January 25, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Diagnostic performance of volume and limited oblique MRI of the anterior cruciate ligament compared to knee arthroscopy.

Muscles, ligaments and tendons journal·2016
Same author

A soft patellar tendon on ultrasound elastography is associated with pain and functional deficit in volleyball players.

Journal of science and medicine in sport·2015
Same author

The imaging and management of nonconsecutive pars interarticularis defects: a case report and review of literature.

The spine journal : official journal of the North American Spine Society·2012
Same author

Angiographic embolisation of pelvic ring injuries. Treatment algorithm and review of the literature.

International orthopaedics·2011
Same author

Mechanical correction of dynamometer moment for the effects of segment motion during isometric knee-extension tests.

Journal of applied physiology (Bethesda, Md. : 1985)·2011
Same author

Spine computed tomography doses and cancer induction.

Spine·2010

Ethical concerns limit cervical spine imaging studies in unconscious trauma patients. Current consensus favors CT and MRI, with MRI being crucial for detecting subtle injuries and non-contiguous fractures.

Area of Science:

  • Radiology
  • Trauma Imaging
  • Spinal Diagnostics

Background:

  • Ethical barriers have historically prevented randomized controlled trials for cervical spine imaging in unconscious trauma patients.
  • Evolving imaging technologies like MRI and multislice CT contrast with slower literature updates, leading to evolving clinical guidelines.
  • Despite challenges, an emerging consensus exists for imaging multiply injured patients.

Purpose of the Study:

  • To re-evaluate the role of cervical spine imaging in unconscious trauma patients.
  • To incorporate recent technological advancements and emerging clinical guidelines into imaging protocols.
  • To clarify the diagnostic pathway for identifying cervical spine injuries in this vulnerable patient group.

Main Methods:

  • Review of current literature and emerging consensus on cervical spine imaging protocols.

Related Experiment Videos

  • Analysis of the utility of various imaging modalities including radiography, CT, and MRI.
  • Emphasis on technical specifications for optimal imaging, such as CT slice thickness and MRI sequences.

    • Main Results:

    • Initial survey includes lateral cervical spine, chest, and pelvic radiographs.
    • CT of the brain down to C3 (or D1 in the USA) with thin slices (≤2 mm) is routine for unconscious patients.
    • MRI is indicated for negative CT/radiographs, focal neurological signs, cord/disc injury, pre-operative surgical planning, and evaluating trauma complications.

    Conclusions:

    • A multidisciplinary team approach is essential for effective cervical spine trauma management.
    • Advanced imaging techniques, particularly MRI with sagittal STIR sequences, are vital for detecting subtle and non-contiguous injuries.
    • Avoiding repeat imaging due to technical inadequacy and adhering to updated guidelines are critical for patient care.