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Emergency Medicine Journal 2007;24:676; doi:10.1136/emj.2007.046912
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Paediatric cervical spine injury but NEXUS negative

Melanie J Maxwell and Andrew D Jardine

Queen’s Medical Centre Campus, Nottingham University Hospitals NHS Trust, Nottingham, UK

Correspondence to:
Correspondence to:
Dr A D Jardine
Queen’s Medical Centre Campus, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK; andrew.jardine{at}nuh.nhs.uk

ABSTRACT

Cervical spine injuries in paediatric patients following trauma are extremely rare. The National Emergency X-Radiography Utilization Study (NEXUS) guidelines are a set of clinical criteria used to guide physicians in identifying trauma patients requiring cervical spine imaging. It is validated for use in children. A case of a child who did not fulfil the NEXUS criteria for imaging but was found to have a cervical spine fracture is reported.


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This article has been cited by other articles:

  • Blackham, J., Benger, J. (2009). `Clearing' the cervical spine in conscious trauma patients. Trauma 11: 93-109 [Abstract]  

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