![]() ![]() The NEXUS criteria are insufficient to exclude cervical spine fractures in older blunt trauma patients. Paykin G, O'Reilly G, Ackland HM, Mitra B. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, Worthington JR, Eisenhauer MA, Cass D, Greenberg G, MacPhail I, Dreyer J, Lee JS, Bandiera G, Reardon M, Holroyd B, Lesiuk H, Wells GA. National Emergency X-Radiography Utilization Study Group. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Selective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS). Hoffman JR, Wolfson AB, Todd K, Mower WR. Bone survey infant: 77076: C-spine minimum 5 views: 72052: C-spine minimum 4 views: 72050: C-spine 1 view: 72020: C-spine 2 -3 views: 72040: Pelvis 3 views i.e. There is some debate over whether the NEXUS criteria or the Canadian C-spine rules (CCR) are more reliable for excluding C-spine injury, though high-quality evidence points to better sensibility, better sensitivity, and a lower rate of imaging use when following the CCR criteria 3.ġ. The NEXUS criteria may not be reliable with patient >65 years of age, however 4.Ī commonly used mnemonic to remember the criteria is "NSAID": The NEXUS criteria have a sensitivity of 99.6% for ruling out cervical spine injury in the original study validating the criteria (95% confidence interval, 98.6-100%) 2. Plain Films Plain films provide the quickest way to survey the cervical spine. Anterior ossification centre appear 20 at birth & visible by 1 year. One for anterior arch &two for neural arch. Ossification centres of atlas C1-3 primary ossification centre. Trauma patients who do not require cervical spine imaging require all of the following: X ray c-spine - Download as a PDF or view online for free. ![]() NEXUS (National Emergency X-Radiography Utilization Study) is a set of validated criteria used to decide which trauma patients do not require cervical spine imaging. ![]()
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