4.5 Review

Cervical Spine Evaluation in Pediatric Trauma

Journal

AMERICAN JOURNAL OF ROENTGENOLOGY
Volume 198, Issue 5, Pages W417-W425

Publisher

AMER ROENTGEN RAY SOC
DOI: 10.2214/AJR.11.8150

Keywords

appropriateness criteria; conventional radiography; cost-effectiveness; CT; MRI; pediatric imaging

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OBJECTIVE. This article will review the current literature as it relates to imaging of the child suspected to have cervical spine injury (CSI) and the imaging findings of pediatric CSI, focusing on strategies to minimize radiation dose while maximizing diagnostic yield. CONCLUSION. Although CSI is uncommon in children, the clinical implications of failure to correctly diagnose CSI are significant. Clinical decision rules proven effective in predicting CSI in adults cannot be uniformly applied to children.

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