RECOMMENDATIONS Standards: A three view cervical spine series (AP, lateral, and odontoid views) is recommended for radiographic evaluation of the cervical spine in patients who are symptomatic following traumatic injury. This should be supplemented with computed tomography to further define areas that are suspicious or not well visualized on the plain cervical x-rays. Guidelines: There is insuf...

Estimates of the incidence of injury to the cervical spine among patients suffering blunt trauma to the head vary widely, and have been reported to be as high as 20%. Since strict observation of cervical spine precautions may delay attempts to gain control of the airway in a patient with an intracranial injury, the risk involved needs more exact definition. In an attempt to quantify this risk, ...

Injuries to the cervical spine occur in approximately 4% of trauma patients, including 8% of patientswho are unconscious or obtunded, and 3% of alert trauma presentations. Failure in detecting cervical spine injury in an efficient and timely manner in the acute clinical setting can result in catastrophic consequences involving permanent neurologic sequelae. As a result, clinical assessment and ...

KSSS Presidential Lecture 30p. Joint Session of JSSS and Asia Spine -Meet the MastersKey note Lecture JSJA1 32p. Invited Lecture JSJA2 34p. Lectures of Masters JSJA3 36p. Lectures of Masters JSJA4 38p. Lectures of Masters JSJA5 40p. Lectures of Masters JSJA6 42p. Special Lecture 44p. Luncheon Seminar 48p. -

Injury to the cervical cord is common but may be overlooked The first important requirement in managing any patient with an injury to the cervical spine is to make the diagnosis: failure to do this in a patient with traumatic spinal instability may lead to increased neurological deficit. In one large series of such injuries the diagnosis was missed in the accident and emergency department in on...

The upper cervical spine comprising the base of the skull, first cervical vertebra (C1) and second cervical vertebra (C2) is one of the most complex joints in the human spine. In low severity automotive crash scenarios, ligament distraction has been implicated as a source of whiplash pain, while at higher impact severities vertebral fracture and distraction can lead to ser...

OBJECTIVE To, assess the emergency department use of cervical spine radiography for alert, stable adult trauma patients in terms of utilization, yield for injury and variation in practices among hospitals and physicians. DESIGN Retrospective survey of health records. SETTING Emergency departments of 6 teaching and 2 community hospitals in Ontario and British Columbia. PATIENTS Consecutive...

OBJECTIVE The purpose of this single subject case study is to examine the relationship between cervical spine manipulation and tender points located in the upper quarter. CLINICAL FEATURES A 45-year-old female presented with cervical spine pain and corresponding pain points in the upper quarter following a motor vehicle collision occurring 7 months prior to testing. Inclusion criteria were 22...

PURPOSE Pedicle screw fixation in the upper cervical spine is a difficult and high-risk procedure. The screw is difficult to place rapidly and accurately, and can lead to serious injury of spinal cord or vertebral artery. The aim of this study was to design an individualized 3D printing navigation template for pedicle screw fixation in the upper cervical spine. METHODS Using CT thin slices da...

OBJECTIVE To provide certified athletic trainers, team physicians, emergency responders, and other health care professionals with recommendations on how to best manage a catastrophic cervical spine injury in the athlete. BACKGROUND The relative incidence of catastrophic cervical spine injury in sports is low compared with other injuries. However, cervical spine injuries necessitate delicate a...