The Canadian C-Spine Rule more accurately identified cervical-spine injury in trauma than the NEXUS Low-Risk Criteria

Wyer, Peter
July 2004
ACP Journal Club;Jul/Aug2004, Vol. 141 Issue 1, p24
Academic Journal
The Canadian C-Spine Rule (CCR) more accurately identified cervical-spine injury in trauma than the NEXUS Low-Risk Criteria. In patients with trauma who were alert and stable, the Canadian C-Spine Rule more accurately identified cervical-spine injury than the National Emergency X-Radiography Utilization Study Low-Risk Criteria. More than 1 million patients with possible cervical-spine injury secondary to recent blunt trauma present to North American EDs annually. 394 physicians assessed the patients before radiography. The CCR is based on 3 high-risk criteria, 5 low-risk criteria, and the ability of patients to actively rotate their necks.


Related Articles

  • Reproducibility and validity of radiographically determined gastrointestinal and segmental colonic transit times in spinal cord-injured patients. Media, S.; Christensen, P.; Lauge, I.; Al-Hashimi, M.; Laurberg, S.; Krogh, K. // Spinal Cord;Jan2009, Vol. 47 Issue 1, p72 

    Background:Total gastrointestinal transit times (GITT) and segmental colonic transit times (CTT) are commonly used to describe bowel function in individuals with spinal cord injury (SCI).Study design:Reproducibility study.Objectives:To describe inter- and intrasubjective as well as interobserver...

  • Spinal immobilisation for unconscious patients with multiple injuries. Morris, C. G.; McCoy, W.; Lavery, G. G. // BMJ: British Medical Journal (International Edition);8/28/2004, Vol. 329 Issue 7464, p495 

    Presents a clinical review of spinal immobilisation for unconscious patients with multiple injuries. How prolonged immobilisation and the use of cervical collars are associated with morbidity and mortality; Lack of consensus on the optimal evaluation of unconscious patients with a possible...

  • Marc Maury, 1922-2011: an extraordinary person. Dollfus, Paul // Spinal Cord;Apr2012, Vol. 50 Issue 4, p258 

    The article presents an obituary for Marc Maury, the former Chief Consultant of the Rehabilitation Unit of the Hospital of Fontainebleau in France.

  • Canadian C-Spine Rule Better Than NEXUS Rule. Ebell, Mark // American Family Physician;5/15/2004, Vol. 69 Issue 10, p2449 

    Discusses whether the Canadian C-spine rule of the National Emergency X-Radiography Utilization Study (NEXUS) low-risk criteria rule is better at recognizing cervical spine injury. Description of a study comparing the two clinical decision rules; Conclusion that the Canadian C-spine rule is...

  • A functional strategy for classifying patients after traumatic spinal cord injury. Stineman, M G; Marino, R J; Deutsch, A; Granger, C V; Maislin, G // Spinal Cord;Oct1999, Vol. 37 Issue 10, p717 

    OBJECTIVES: :To present a function-based strategy for classifying patients by expected functional outcomes measured as patients' performances at discharge on each of the 18 component items of the FIMâ„¢ instrument (previously known as the Functional Independence Measure). Methods: Data...

  • Spinal cord injury without radiographic abnormality in adults. Gupta, S K; Rajeev, K; Khosla, V K; Sharma, B S; Paramjit; Mathuriya, S N; Pathak, A; Tewari, M K; Kumar, A // Spinal Cord;Oct1999, Vol. 37 Issue 10, p726 

    Spinal cord injury without fractures or bony malalignment on either plain radiographs or computed tomography (SCIWORA) is most commonly found in the paediatric age group. In recent years, magnetic resonance imaging (MRI) has been used to evaluate these patients. The present communication...

  • Unusual presentation of spinal cord injury without radiographic abnormality with disproportionate weakness of lower extremities — a case report.  // Canadian Journal of Neurological Sciences;May2003 Supplement 2, Vol. 30, pS72 

    Presents an abstract of the study 'Unusual Presentation of Spinal Cord Injury Without Radiographic Abnormality With Disproportionate Weakness of Lower Extremities-A Care Report' submitted to the 38th meeting of the Canadian Congress of Neurological Sciences.

  • Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective. Hussain, Manzar; Nasir, Sadaf; Murtaza, Ghulam; Moeed, Umber; Bari, Muhammad Ehsan // Asian Spine Journal;Mar2012, Vol. 6 Issue 1, p29 

    Study Design: Retrospective case series. Purpose: The objective of our study was to determine the change in management brought about by magnetic resonance imaging (MRI) of the cervical spine in alert and awake patients with facet dislocation and spinal cord injury presenting within 4 hours after...

  • Choosing the Right SCI Doc. Vogel, Bob // New Mobility;Jun2012, Vol. 23 Issue 225, p46 

    The article provides an answer to a question of finding a doctor who understands spinal cord injury (SCI) and getting a second opinion.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics