C-spine clearance in poly-trauma patients: A narrative review |
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Authors: | Bhavuk Garg Kaustubh Ahuja |
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Affiliation: | aDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;bDepartment of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, India |
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Abstract: | The incidence of cervical spine injury in patients with polytrauma is 3.7%. Early identification and management of cervical spine injuries in these patients play a crucial role in preventing secondary cervical spine and cord injuries. C-spine clearance assumes a pivotal role in reducing the morbidity and mortality associated with cervical spine injury. Despite the availability of various validated management algorithms and protocols for C-spine clearance, there are several controversies regarding C-spine clearance, such as the ideal protocol and imaging modality, clearance of obtunded patients and management of patients that lie out of the described protocols and rules. The current article aims to provide a comprehensive review of the relevant literature and address the prevalent controversies. |
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Keywords: | Cervical spine injury Cervical spine clearance NEXUS Canadian C-spine rule Paediatric C-spine clearance |
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