Cervical spine injury occurs in 5-10% of patients with traumatic brain injury (TBI) and the consequences of missing significant cervical injuries in unconscious blunt trauma patients are potentially devastating. An adequate cervical spine clearance protocol for unconscious patients must avoid missed injuries, but must also avoid unnecessary cervical immobilisation and the associated morbidity. ...

The objective of this study was to review the effect of helmet use on the frequency of cervical or thoracic fractures experienced in motorcycle crashes. This prospective cohort study was conducted at one hospital, St. Joseph’s Hospital Medical Center in central Phoenix, Arizona. Cases were 422 motorcycle crash victims treated during the 3 years of the study (July 1, 2002 through June 30, 2005),...

BACKGROUND AND PURPOSE There are limited data correlating MR imaging and anatomic findings of ligamentous injury in cervical spine trauma. This study compares acute MR imaging with surgical observations of disk/ligamentous injury after blunt cervical trauma. MATERIALS AND METHODS Consecutive patients with acute cervical spine trauma who underwent preoperative MR imaging and surgery from 1998 ...

Cervical spine assessment is an important step in patients who sustained trauma. Klippel-Feil syndrome (KFS) a complex with abnormal fusion of cervical vertebrae at C2 and C3, which caused by failure the division or normal segmentation early fetal development. This condition leads to characteristic appearance short neck, low hairline, facial asymmetry, limited neck mobility. People congenital d...

STUDY HYPOTHESIS Cervical-spine radiography does not need to be performed on selected blunt trauma patients who are awake, alert, nonintoxicated, do not complain of midline neck pain, and have no tenderness over the bony cervical spine. STUDY POPULATION One thousand consecutive patients seen in the UCLA Emergency Medicine Center with a chief complaint of blunt trauma, for whom cervical-spine ...

Temporomandibular dysfunction (TMD) is considered to be associated with imbalance of the whole body. This study aimed to evaluate the influence of TMD therapy on cervical spine range of movement (ROM) and reduction of spinal pain. The study group consisted of 60 patients with TMD, cervical spine pain, and limited cervical spine range of movements. Subjects were interviewed by a questionnaire ab...

STUDY DESIGN Resident's case problem. BACKGROUND The purpose of this paper is to provide the examination of and decision-making process for a patient referred to physical therapy for the treatment of neck pain following trauma. She was found to have an underlying odontoid fracture that precluded physical therapy intervention. DIAGNOSIS This case involved a 73-year-old woman who had a sudden...

PURPOSE Cervical spine injuries following major trauma result in significant associated morbidity and mortality. Devastating neurological injury, including complete and incomplete tetraplegia, are common sequelae of cervical spine trauma and cause profound and life-altering medical, financial, and social consequences. Most cervical spine injuries follow motor vehicle accidents, falls, and viole...

STUDY DESIGN Histologic and ultrastructural study of disc cell death after traumatic injury to the human cervical spine and postmortem (p-m) in the porcine cervical spine. OBJECTIVE To determine the changes in disc cell morphology, viability, and manner of cell death after trauma in human discs and p-m in porcine discs. SUMMARY OF BACKGROUND DATA Similarities in the morphology of human and ...

Craniocervical bone pneumatization in humans is very rare: only a handful of cases have been reported, predominantly in males (1). The characteristic air-filled bones are prone to fracture, even following minor trauma. Our case report (2) recently published in the December 2011 issue of Diagnostic and Interventional Radiology described abnormal extensive craniocervical bone pneumatization in a ...