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Western pediatric cervical spine study: an observational prospective Western Pediatric Surgery Research Consortium

R Scott Eldredge1, Anastasia Morgan Kahan2, Benjamin E Padilla3

  • 1Mayo Clinic Arizona, Scottsdale, Arizona, USA.

Trauma Surgery & Acute Care Open
|January 23, 2026
PubMed

Insights

This study evaluates multidetector CT (MDCT) for detecting cervical spine injuries (CSI) in children after blunt trauma. Findings will inform guidelines for pediatric trauma care and improve diagnostic accuracy.

Area of Science:

  • Pediatric Traumatology
  • Diagnostic Imaging
  • Radiology

Background:

  • Clinically significant cervical spine injury (CSI) occurs in ~1% of pediatric blunt trauma cases.
  • Multidetector CT (MDCT) is standard for adult cervical spine clearance, but its pediatric utility is unclear.
  • Pediatric CSI diagnosis requires validated imaging protocols.

Purpose of the Study:

  • To assess the sensitivity of MDCT for identifying clinically significant CSI in pediatric patients.
  • To stratify MDCT performance by age groups: adolescents (12-17 years) and children (0-11 years).
  • To provide evidence for optimizing pediatric cervical spine clearance protocols.

Main Methods:

  • National, multicenter, prospective observational study design.
  • Data collection on imaging findings, clinical outcomes, and confirmed CSIs.
  • Analysis includes age-stratification and calculation of MDCT diagnostic values (sensitivity, specificity).

Main Results:

  • Data collection and analysis are ongoing.
  • This study represents the largest prospective cohort of pediatric patients undergoing cervical spine imaging after blunt trauma.
  • First prospective study focused exclusively on pediatric cervical spine imaging after blunt trauma.

Conclusions:

  • Study findings will inform clinical guidelines for pediatric cervical spine clearance.
  • Evaluating MDCT sensitivity aims to support evidence-based imaging strategies.
  • The research seeks to enhance the safety and efficiency of pediatric trauma care.
Abstract

Keywords:
CervicalProspectivepediatricspine

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