Imaging of the Cervical Spine in Children

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See also: Major paediatric trauma — The primary survey Background Traumatic injuries of the cervical spine C-spine are uncommon in children.

Bibliographic Information

Frequent reassurance is required to help keep the child still and reduce their anxiety levels. If the child is anxious or uncooperative and a thorough examination is not possible, try and maintain in line C-spine immobilisation.

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These patients may sustain C-spine injury with a less severe mechanism. Fall - more than 3 metres. Kicked by, or fall from a horse.

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Backed over by a car. Thrown from vehicle. Severe electric shock. Immobilisation Patients with suspected or possible C-spine injury must have their neck immobilised until formal assessment occurs. Sand bags and tape are NOT recommended in the hospital setting Spinal boards: all children should be taken off spinal board at time of transfer from ambulance trolley. Immobilisation technique: Apply manual in-line immobilisation Apply a one piece hard collar : ensure appropriate sizing or check sizing of collar in situ. If any of the following apply, manual in-line immobilisation without a collar should be maintained: Uncooperative patient - constant reassurance is required to reduce anxiety.

If a thorough examination is not possible, seek senior assistance. Occipital-cervical dissociation is more prevalent in children less than 8 age years of age and is not made stable by applying a collar. If a patient is intubated, unconscious or there is a high suspicion of this type of C-spine injury e. If there is abnormal neurology, consult with Neurosurgery.

Whilst maintaining in-line immobilisation, gently palpate the posterior midline of the neck — feeling from the nuchal ridge to the 1 st thoracic vertebra The most prominent spinal process arises from the C7 vertebra. Repeat the process lateral to the midline on both sides.

Clinical tests for detecting cervical spine injury (CSI) in children with injuries | Cochrane

Tenderness laterally may indicate muscular or soft tissue injury. Page Notes There are no notes to display.

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Imaging of the Cervical Spine in Children

Page Management of pediatric cervical spine and spinal cord injuries In: Guidelines for the management of acute cervical spine and spinal cord injuries. Close Save Note. Close View Note.

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Imaging of the Cervical Spine in Children

Pediatric musculoskeletal trauma: imaging strategies revisited Annelie Slaar. Current issues in the diagnosis of pediatric cervical spine injury. Nathaniel S. Kreykes , Robert W. A pediatric cervical spine clearance protocol to reduce radiation exposure in children. Raphael C. Sun , Dionne A. Valerie Ann Waddell , Susan Connelly.

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Performance improvement and patient safety program-guided quality improvement initiatives can significantly reduce computed tomography imaging in pediatric trauma patients. Christopher R.