PubMed HealthSearch

PubMed · 461764

Cervical spin protocol for emergency room use.

Abstract

At the University of Alabama Hospitals, we have established a protocol of routine and supplementary projections to provide an unusually thorough and complete evaluation of the patient suspected of harboring certain acute cervical spine injuries. This paper reports an evaluation of a protocol designed for use in the radiographic emergency room. The protocol was designed to provide uniform roentgen assessment of the cervical spine with a minimum number of exposures, ease in radiographing the patient, and strict avoidance of manipulation of the patient. A total of 268 patients were evaluated. Of these patients, 98 (thirty-six per cent) were admitted to the hospital for various reasons and none required additional roentgenograms of the cervical spine for better delineation. In addition, in no instance was a previously undiagnosed cervical spine injury later found.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R Yelton. Cervical spin protocol for emergency room use.. https://pubmed.ncbi.nlm.nih.gov/461764/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Chronic benign cervical pain syndromes. Surgical considerations.

The results of surgical intervention for chronic benign pain syndromes are generally poor. In this review, pertinent ablative and modulatory techniques are reviewed, with specific reference to their utility for benign pain syndromes. With the possible exception of facet rhizotomy, the ablative modalities have little role in the management of benign pain syndromes. The more extensive techniques of cordotomy, dorsal root entry zone lesioning, ganglionectomy, and rhizotomy, have erratic results and high rates of complication. No long-term studies exist to support the use of facet rhizotomy. It is minimally invasive, however, and has little morbidity. In patients with benign refractory posterior column pain, facet rhizotomy may be worth consideration. Modulatory devices may have a role in benign pain syndromes. While the use of indwelling epidural catheters remains investigational, dorsal column stimulation has been widely studied. In representative reports, significant pain relief has been observed in up to 60% of patients (mean follow-up of two years). In the carefully selected patient, this may represent a valuable therapeutic adjunct.

Cervical Vertebrae

Eosinophilic granuloma of the cervical and thoracic spine in a child.

A case of eosinophilic granuloma affecting a cervical vertebra, thoracic vertebra and pelvis in a child is reported. We present this case because multifocal eosinophilic granuloma lesions of the spine are rare and can present as this case did with both diagnostic and therapeutic problems. Preoperative diagnosis may be made by X-ray, isotope bone scan and needle biopsy, avoiding unnecessary surgical intervention.

Cervical Vertebrae

Vertebra plana Calvé.

The differential diagnostic problems of a case of vertebra plana Calvé having a rare location in the cervical spine are discussed. The various theories of aetiology and pathogenesis are considered briefly. The differentiation from inflammatory and tumourous diseases of the vertebral column is of great importance for therapeutic reasons. Skeletal scintigraphy was used for the first time for differential diagnosis in the case presented.

Cervical Vertebrae