EMERGENCY CASEBOOK
Fractures of the atlas: can we rely on the NICE guidelines for imaging the cervical spine after head injury?
Horton Hospital, Oxford Radcliffe Hospitals NHS Trust, Banbury, Oxon, OX16 9AL, UK
Correspondence to:
Correspondence to:
Grizelda George
Emergency Department, Horton Hospital, Oxford Radcliffe Hospitals NHS Trust, Banbury, Oxon, OX16 9AL, UK; grizelda.george{at}orh.nhs.uk
We describe a patient who was not thought to fulfil the NICE criteria for imaging the cervical spine after head injury but who had two fractures of the atlas, thus rendering the vertebral ring unstable. The reasons for missing this injury in the emergency department are discussed.
Keywords: fracture, atlas; imaging; NICE
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