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Emergency casebook
Paediatric cervical spine injury but NEXUS negative
  1. Melanie J Maxwell,
  2. Andrew D Jardine
  1. Queen’s Medical Centre Campus, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. 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.

http://dx.doi.org/10.1136/emj.2007.046912

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    Footnotes

    • Funding: None.

    • Competing interests: None.