@article {Smart225, author = {P J E Smart and P J Hardy and D M G Buckley and J M Somers and N J Broderick and K E Halliday and L Williams}, title = {Cervical spine injuries to children under 11: should we use radiography more selectively in their initial assessment?}, volume = {20}, number = {3}, pages = {225--227}, year = {2003}, doi = {10.1136/emj.20.3.225}, publisher = {British Association for Accident and Emergency Medicine}, abstract = {Objectives: To assess the effectiveness of cervical spine radiography in injured children under 11 years old, and suggest improvements. Methods: Retrospective survey of radiographs and accident and emergency records for children examined during a one year period in a large teaching hospital. Results: No cervical spine fractures occurred in this age group during the year. The recorded clinical findings did not always justify radiography. Conclusions: Clinical examination appears undervalued by those assessing injured children and is poorly recorded. Radiography can be used more selectively. Initial assessment using a single lateral projection can be followed in doubtful cases by cross sectional imaging.}, issn = {1472-0205}, URL = {https://emj.bmj.com/content/20/3/225}, eprint = {https://emj.bmj.com/content/20/3/225.full.pdf}, journal = {Emergency Medicine Journal} }