NEXUS cervical spine rule

Radiography is Unnecessary if pts satisfy ALL five of the following low risk criteria:

  • No midline cervical tenderness
  • No focal neuro deficits
  • Normal alertness
  • No intoxication
  • No painful distracting injury


Treatment

Radiologically identified c spine inj not clinically significant

- spinous process fx

- simple wedge compression fx < 25%

- isolated avvlsion s lig inj

- type 1 odontoid fx

- end plate fx

- inj to trabecular bone

- transverse process fx


Source

UpToDate

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