![]() ![]() If the spine is unlikely to be injured, hospital staff remove the collar and head supports. If the hospital staff think the person might have a spinal injury, they offer a scan. This projection helps to visualize pathology involving the entire cervical spine orthogonal to the AP view and is often performed in the trauma setting. The same questions are asked again when the person arrives at the hospital. Obtaining an adequate radiograph (to include C7-T1 disc) is crucial and isolated lateral cervical X-ray can potentially diagnose 80 of CSIs. These questions include their age, the type of injury they have had and how they became injured. The clinical presentation and diagnostic workup in pediatric cervical spine injuries (CSI) are different from adults owing to the unique anatomy and relative immaturity. ![]() People with a possible spinal injury who have their spine immobilised to prevent further injury, using a special collar and head supports, are asked questions by the ambulance team to try to find out how likely it is that they have a spinal injury, and which part of the spine might be injured. The level of risk of cervical spine injury should be used to make decisions on whether spinal immobilisation and prompt imaging are needed.Ĭommissioners (integrated care systems and NHS England) ensure that they commission services that have checklists to document the use of the Canadian C‑spine rule to assess the risk of cervical spine injury for people with full in‑line spinal immobilisation, and inform decisions about when to carry out or continue with spinal immobilisation and request prompt imaging. A digital reference tool that contains the Canadian C‑spine rule, such as the MDCalc website, can be used when doing the assessment. Healthcare professionals (paramedics and trauma teams) use the Canadian C‑spine rule to carry out risk assessment for people with full in‑line spinal immobilisation, and document this. Service providers (ambulance services, major trauma centres, trauma units and district general hospitals) train staff in using the Canadian C‑spine rule and implement its use in pre‑hospital and hospital settings to carry out risk assessment for cervical spine injury for people with full in‑line spinal immobilisation. Neck X-ray can also rule out rare and more serious causes for neck pain and stiffness, such as tumors, cancer, infections or fractures. What the quality statement means for different audiences An X-ray can show changes in the spine, such as bone spurs, that indicate cervical spondylosis. ![]()
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