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Bjarne Lied: C0-C2-frakturer - Oslo universitetssykehus

Bjarne Lied: C0-C2-frakturer - Oslo universitetssykehus

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Clearing the cervical spine in obtunded patients.<br />

Spine (Phila Pa 1976). 2008 Jun 15;33(14):1547-53<br />

Harris TJ, Blackmore CC, Mirza SK, Jurkovich GJ.Source<br />

School of Medicine, University of Washington, University of Washington School of Medicine, Seattle, WA 98104-2499, USA.<br />

• Optimal method for excluding cervical spine injury in obtunded trauma<br />

patients remains controversial.<br />

• Of 590 screened patients, 367 met the inclusion and exclusion criteria.<br />

• Initial CT imaging failed to identify an injury in 1 patient, for a false<br />

negative rate of 0.3% (1/367): a cervical cord contusion identified on<br />

subsequent physical examination, confirmed by magnetic resonance<br />

imaging, and managed nonoperatively.<br />

• Initial CT imaging identified all unstable cervical spine injuries in<br />

obtunded trauma patients.

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