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http://dx.doi.org/10.1056/NEJM200404013501420 | DOI Listing |
Cureus
December 2024
Emergency Medicine, West Midlands Deanery, Birmingham, GBR.
Cervical spine injuries are one of the most common injuries of the spine that are encountered in the emergency department (ED). More than half of all spinal injuries presenting to the ED involve the cervical spine, with nearly half of them resulting from road traffic accidents. The majority of spinal cord injuries are found to occur in males of younger age groups, with almost half of them resulting in incomplete spinal cord injuries.
View Article and Find Full Text PDFUnfallchirurgie (Heidelb)
February 2025
Klinik für Unfall‑, Hand- & Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient's medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed.
View Article and Find Full Text PDFChilds Nerv Syst
December 2024
Department of Neurosurgery, University of Texas Health at San Antonio, San Antonio, TX, USA.
Purpose: Pediatric cervical spine injury (pCSI) is rare. Physiological differences necessitate alternate management from adults. Yet, no standardized pediatric protocols exist.
View Article and Find Full Text PDFJ Man Manip Ther
December 2024
Orthopaedic Manual Physical Therapy Fellowship Program, Upstream Rehabilitation Institute, Smyrna, GA, USA.
Background: Neck pain is a common condition that is often difficult to diagnose. Previous literature has investigated diagnostic accuracy of examination measures, but the strength and clinical applicability are limited. This overview of systematic reviews aimed to investigate clinical features for diagnosing neck pain and its associated disorders.
View Article and Find Full Text PDFArch Physiother
December 2024
Department of Health, LUNEX University of Applied Sciences, Differdange - Luxembourg.
Introduction: We conducted a systematic review of clinical practice guidelines to identify red flags for serious pathologies in neck pain mentioned in clinical practice guidelines, to evaluate agreement in red flag recommendations across guidelines, and to investigate the level of evidence including what study type the recommendations are based on.
Methods: We searched for guidelines focusing on specific and nonspecific neck pain in MEDLINE, EMBASE, and PEDro up to June 9, 2023. Additionally, we searched for guidelines through citation tracking strategies, by consulting experts in the field, and by checking guideline organization databases.
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