Canadian c spine rules update#

Pimentel L, Diegelmann L (2010) Evaluation and management of acute cervical spine trauma. James IA, Moukalled A, Yu E, Tulman DB, Bergese SD, Jones CD et al (2014) A systematic review of the need for MRI for the clearance of cervical spine injury in obtunded blunt trauma patients after normal cervical spine CT.

Canadian c spine rules update#

Yue JK, Upadhyayula PS, Chan AK, Winkler EA, Burke JF, Readdy WJ et al (2016) A review and update on the current and emerging clinical trials for the acute management of cervical spine and spinal cord injuries-Part III. Kanwar R, Delasobera BE, Hudson K, Frohna W (2015) Emergency department evaluation and treatment of cervical spine injuries. The modified Canadian C-spine rule has fewer variables than the original Canadian C-spine rule and is entirely based on physical examination, which seems easier to use in emergency departments. The sensitivities of NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 93.4%, 100.0% and 100.0%, respectively.

The area under the curve of the NEXUS criteria, Canadian C-spine, and modified Canadian C-spine rule were 0.76, 0.78 (95% CI 0.74вЂ“0.83), and 0.79 (95% CI 0.74вЂ“0.83), respectively. ResultsДata from 673 patients were included. In addition, modified Canadian C-spine rule was derived by removing dangerous mechanism and simple rear-end motor vehicle collision from the model. Afterward, all patients underwent cervical imaging. Emergency physicians evaluated the patients based on the Canadian C-spine rule and NEXUS criteria in two groups of low risk and high risk for clinically important cervical spine injury. MethodsДЄ prospective diagnostic accuracy study was conducted on trauma patients referred to four emergency departments of Iran in 2018.

Finally, we introduced the modified Canadian C-spine rule.

Therefore, the aim of the present study was to compare the accuracy of the Canadian C-spine and NEXUS criteria in ruling out clinically important cervical spine injuries in trauma patients. Although, Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS) criteria in ruling out clinically important cervical spine injuries have been validated using large prospective studies, no consensus exist as to which rule should be endorsed.