Journal of the American College of Radiology
Volume 7, Issue 7 , Pages 531-532 , July 2010

Elimination of Unnecessary Cervical Spine Radiographs in the Emergency Department

  • Mark J. Adams, MD, MBA

      Affiliations

    • Corresponding Author InformationMark J. Adams, MD, MBA, University of Rochester Medical Center, Department of Imaging Sciences, Box 648, 601 Elmwood Avenue, Rochester, NY 14642
    • ,
  • Jamie Lynn Adams, BA

      Affiliations

    • Corresponding Author InformationJamie Lynn Adams, BA, University of Rochester School of Medicine and Dentistry, Rochester, New York

References 

  1. Bailitz J, Starr F, Beecroft M, et al. CT should replace three-view radiographs as the initial screening test in patients at high, moderate, and low risk for blunt cervical spine injury: a prospective comparison. J Trauma. 2009;66:1605–1609
  2. Fisher A, Young WF. Is the lateral cervical spine x-ray obsolete during the initial evaluation of patients with acute trauma?. Surg Neurol. 2008;70:53–58
  3. Mathen R, Inaba K, Munera F, et al. Prospective evaluation of multislice computed tomography versus plain radiographic cervical spine clearance in trauma patients. J Trauma. 2007;62:1427–1431
  4. Gale SC, Gracias VH, Reilly PM, Schwab CW. The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma. 2005;59:1121–1125
  5. Holmes JF, Akkinepalli R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma. 2005;58:902–905
  6. Besman A, Kaban J, Jacobs L, Jacobs LM. False-negative plain cervical spine x-rays in blunt trauma. Am Surg. 2003;69:1010–1014
  7. Griffen MM, Frykberg ER, Kerwin AJ, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan?. J Trauma. 2003;55:222–227
  8. El-Khoury GY, Kathol MH, Daniel WW. Imaging of acute injuries of the cervical spine: value of plain radiography, CT, and MR imaging. AJR Am J Roentgenol. 1995;164:43–50

PII: S1546-1440(09)00611-5

doi: 10.1016/j.jacr.2009.11.021

Journal of the American College of Radiology
Volume 7, Issue 7 , Pages 531-532 , July 2010

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