OBJECTIVE The purpose of this study was to prospectively assess the sensitivity and efficacy of clinical examination for screening of cervical spine (c-spine) injury in awake and alert blunt trauma patients with concomitant "distracting injuries." METHODS During the 24-month period from December 2009 to December 2011, all blunt trauma patients older than 13 years were prospectively evaluated ...

Kinematic magnetic resonance imaging can be implemented as a non-invasive adjunct examination for injuries in the cervical spine in the clinical assessment of ligamentous, disk, and soft tissue injuries, as a basis for determining medical versus surgical management, and also establishing the degree of functional clinical impairment. This article discusses the clinical indications and applicatio...

cervical injury, blunt and penetrating trauma, hardly lead to morbidity and mortality in children population but it is clinically important. although blunt trauma is less prevalence in children than penetrating trauma, it is life threatening due to laryngotracheal rupture. bicycle accidents are common reason of blunt trauma. blunt laryngotracheal injury is rare in children because mandibular bo...

The cervical spine is one of the most complex structures of the human skeleton. The knowledge of the cervical spine kinematics is a very important tool for many clinical applications such as diagnosis, treatment and surgical interventions and for the development of new spinal implants. The finite element method (FEM) is a well-known and widely used numerical method to simulate structural behavi...

INTRODUCTION Emergency management of upper cervical spine injuries often requires cervical spine immobilisation and some critical patients also require airway management. The movement of cervical spine created by tracheal intubation and cervical spine immobilisation can potentially exacerbate cervical spinal cord injury. However, the evidence that previous studies have provided remains unclear,...

OBJECTIVE To describe cervical spine abnormalities in a group of adult patients with refractory juvenile chronic arthritis (JCA) complicated by secondary amyloidosis (SA). METHODS The series consists of 49 patients who fulfilled the diagnostic criteria of the European League Against Rheumatism for JCA, here complicated by secondary amyloidosis (SA). We evaluated their clinical records and mos...

STUDY DESIGN In vitro biomechanical study. OBJECTIVE Our objective was to determine the effectiveness of cervical collars and cervicothoracic orthoses for stabilizing clinically relevant, experimentally produced cervical spine injuries. SUMMARY OF BACKGROUND DATA Most previous in vitro studies of cervical orthoses used a simplified injury model with all ligaments transected at a single spin...

BACKGROUND CONTEXT The epidemiology of cervical spine fractures and associated spinal cord injury (SCI) has not previously been estimated within the American population. PURPOSE To determine the incidence of cervical spine fractures and associated SCI and identify potential risk factors for these injuries in a large multicultural military population. STUDY DESIGN Query of a prospectively co...

Introduction Giant-cell tumor of the tendon sheath (GCTTS) is part of the group of synovial tumors that can affect joints, bursas, and tendon sheaths. It is rare for GCTTS to involve the spine. When present, it is more common in the lower cervical spine. In the literature, there are only four cases described in the upper cervical spine. In this report, we describe a rare case of GCTTS in the up...

OBJECTIVE To quantify the dynamic loads and intervertebral motions throughout the cervical spine during simulated rear impacts. METHODS Using a biofidelic whole cervical spine model with muscle force replication and surrogate head and bench-top mini-sled, impacts were simulated at 3.5, 5, 6.5, and 8 g horizontal accelerations of the T1 vertebra. Inverse dynamics was used to calculate the dyna...