2/5/2024 0 Comments Cervical spine x ray rules![]() ![]() This investigation demonstrates an injury that may affect spinal stability.Ĭontinue spinal protection and seek advice from an appropriate clinical team. An initial report of cervical spine clearance imaging should be available before the patient leaves the Emergency Department and a definitive report within 18 hours of injury, indicating one of the following scenarios and actions:.If brain CT is necessary for head injury, this should include the cervical spine.If whole-body CT (WBCT) for trauma is necessary, this should include the cervical spine if injury is suspected.If a cervical spine injury is suspected, thin slice CT scanning from occiput to T4, including sagittal and coronal reconstructions should be performed without delay.Thoracic and lumbar spine scans should be obtained according to major trauma protocols.Completion of spinal imaging protocols (standard 7) in unconscious or uncooperative patients and in patients with significant distracting injuries.Normal clinical examination in an awake and orientated patient 2,3 or.Significant spinal injury is excluded following:.If abnormal neurological signs consistent with spinal cord injury are found, immediate discussion with and referral to a centre capable of emergency spinal surgery must occur.If abnormal clinical signs are found, complete neurological examination must be performed and documented on an agreed proforma, such as an ASIA chart.Assessment of the whole spine should be performed and documented where injury is suspected.Spinal protection must remain in place if an injury is identified, or until it is excluded via an established protocol.A spinal protection protocol must be in place in all hospitals managing trauma patients.Inclusions:Īdult patients sustaining blunt trauma. This guideline defines an early clinical and radiological pathway to direct appropriate withdrawal of full spine precautions in patients initially suspected of having sustained a cervical spine injury. 1 It is recognised that there is a potential for occult cervical spine injury associated with disc or ligamentous disruption. Early formal spinal precautions are frequently necessary but their continuation for more than 48 hours is not recommended because of the requirement for log rolling and complications such as pressure sores. Following blunt trauma, particularly if associated with impaired cognition, the potential for an unstable cervical spine is generally recognised and the patient is protected appropriately. ![]()
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