alexa Utility of a cervical spine clearance protocol after trauma in children between 0 and 3 years of age.
Neurology

Neurology

Journal of Spine

Author(s): Anderson RC, Kan P, Vanaman M, Rubsam J, Hansen KW,

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Abstract OBJECT: Cervical spine clearance after trauma in children 0-3 years of age is deceptively difficult. Young children may not be able to communicate effectively, and severe injuries may require intubation and sedation. Currently, no published guidelines are available to aid in decision-making in these complex situations. The purpose of this study was to determine whether a safe and effective protocol-driven system could be developed for clearance of the cervical spine in noncommunicative children between 0 and 3 years of age. METHODS: Children 0-3 years of age, including intubated patients, who were admitted after trauma activation at Primary Children's Medical Center in Salt Lake City or the Children's Hospital of New York from 2002 to 2006 were managed according to a cervical spine clearance protocol. Data were collected in a prospective fashion. Radiographic and clinical methods of clearing the cervical spine, as well as the type and management of injuries, were recorded. RESULTS: A total of 2828 pediatric trauma activations required cervical spine clearance during the study period. Of these, 575 (20\%) were children
  • DOI: 10.3171/2009.10.PEDS09159
  • This article was published in J Neurosurg Pediatr and referenced in Journal of Spine

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