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Distractos on clearing c-spine

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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Agathoklis Konstantinidis, David Plurad, Galinos Barmparas, Kenji Inaba, Lydia Lam, Marko Bukur, Bernardino C Branco, Demetrios Demetriades
BACKGROUND: A distracting injury mandates cervical spine (c-spine) imaging in the evaluable blunt trauma patient who demonstrates no pain or tenderness over the c-spine. The purpose of this study was to examine which distracting injuries can negatively affect the sensitivity of the standard clinical examination of the c-spine. METHODS: This is a prospective observational study conducted at a Level I Trauma Center from January 1, 2008, to December 31, 2009. After institutional review board approval, all evaluable (Glasgow Coma Scale score ≥13) blunt trauma patients older than 16 years sustaining a c-spine injury were enrolled...
September 2011: Journal of Trauma
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