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Relationship of Mechanism of Injury to Asymptomatic Cervical Spine Fractures in the Elderly.
AJNR Am J Neuroradiol
October 2024
From the Russell H. Morgan Department of Radiology and Radiological Science (C. Lawrence, M. Radmard, J. Azadi, D. A. Lakhani, D. M. Yousem.), Department of Internal Medicine (A. A. Amoah) Department of Emergency Medicine (A. Chanmugam) Johns Hopkins Medical Institution, Baltimore, MD, USA. Tehran University of Medical Sciences (A. Tafazolimoghadam), Tehran Province, Tehran, Iran.
The Canadian Cervical Spine Rule, a clinical decision-making tool for patients post-trauma is often interpreted as recommending cervical spine computed tomography in patients ≥ 65 years old, who sustain a dangerous mechanism of injury, and/or have extremity paresthesias. We retrospectively reviewed 6 years' of emergency department cervical spine computed tomography reports to determine fracture rates in patients ≥ 65, symptomatic or not, who did and did not have a dangerous mechanism. Of those ≥ 65 years old, 240/13925 (1.
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