TY - JOUR
AU1 - Al-Sarheed, Saud
AU2 - Alwatban, Jawaher
AU3 - Alkhaibary, Ali
AU4 - Babgi, Yaser
AU5 - Al-Mohamadi, Waleed
AU6 - Masuadi, Emad M.
AU7 - Al Babtain, Ibrahim
AU8 - Azzubi, Moutasem
AB - PurposeTo radiographically assess cervical spine clearance in unconscious pediatric trauma patients.MethodsA retrospective cohort study was conducted to review pediatric patients with suspected cervical spinal injuries between 2005 and 2018 at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. All pediatric patients aged 15 years and less, who sustained trauma (motor vehicle accident, pedestrian, fall, all-terrain vehicle accident, and sports injures) and were intubated at the scene or in the emergency department, were included.ResultsA total of 62 patients were included. The average age for children was 8 ± 3.9 years. The average Glasgow coma scale (GCS) for children at initial trauma was 7.6 + 3.7. The average injury severity score (ISS) was 24.1 + 17.7. The most frequent abnormal finding identified on CT scan was cervical spine straightening (N = 8; 13.1%). A total of 13 children had abnormal MRI findings, with the most common injury being ligamentous in nature (N = 13; 46.42%). The sensitivity and specificity of CT scan in cervical spine clearance in unconscious children are 84.8% and 100%, respectively.ConclusionUtilizing CT scans in clearing the cervical spine is of paramount importance to promptly detect possible injuries. The role of MRI in cervical spine clearance still cannot be undervalued, especially when the clinical suspicion for injury is high.
TI - Cervical spine clearance in unconscious pediatric trauma patients: a level l trauma center experience
JF - Child's Nervous System
DO - 10.1007/s00381-019-04440-5
DA - 2020-04-09
UR - https://www.deepdyve.com/lp/springer-journals/cervical-spine-clearance-in-unconscious-pediatric-trauma-patients-a-2w0YFYBIw3
SP - 811
EP - 817
VL - 36
IS - 4
DP - DeepDyve
ER -