Cervical Spine Injuries - Chinmay Gupte 27/8/2001
Epidemiology (US)
Annual incidence SCI:
5 per 100,000
1 yr mortality rate (Mesard, 1978):
28% for complete SCI
14% for incomplete SCI
Issues of interest
[1]
Pre-hospital care: extrication (Karbi; CMAJ 1998):
devices should be easily applied facilitate extrusion from car seats without changing body position, or hindering the airway.
[2]
Immobilisation:
collar, sandbags and tape (above article discusses new methods but none as yet established)
[3]
Radiographic evaluation:
X-Rays:
most agree on 3 view series ie. Open mouth+lateral+AP views.
Other views:
swimmers views for C7/T1
2 supine oblique views are also of benefit
CT scanning/ MRI imaging:
ACR have devised a protocol for usefulness of each imaging modality
Kathol, MH.
Cervical spine trauma, what is new?
Radiologic clinics of
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