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spine_injury_cx [2021/05/02 11:50]
wh [Mx of patients with midline spinal tenderness but negative CT scan]
spine_injury_cx [2021/05/02 11:51] (current)
wh [Mx of patients with midline spinal tenderness but negative CT scan]
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 =====Mx of patients with midline spinal tenderness but negative CT scan===== =====Mx of patients with midline spinal tenderness but negative CT scan=====
-  *those with neurology should be considered for MRI scan +  ***those with neurology should be referred for MRI scan** 
-  *those without neurology and a high quality CT scan reported by a radiologist (or perhaps emergency physician or trauma surgeon) experienced in trauma scans probably do not need MRI scan as it is extremely unlikely an unstable injury will be present although up to 9% of MRI scans in these patients would detect stable injuries missed by CT scan +  ***those without neurology and a high quality CT scan** reported by a radiologist (or perhaps emergency physician or trauma surgeon) experienced in trauma scans probably do not need MRI scan as it is extremely unlikely an unstable injury will be present although up to 9% of MRI scans in these patients would detect stable injuries missed by CT scan 
     *it is now increasingly accepted that it is safe to remove the collar in these patients and manage as per below under low risk patients after Cx spine clearance     *it is now increasingly accepted that it is safe to remove the collar in these patients and manage as per below under low risk patients after Cx spine clearance
     * see [[https://www.nuemblog.com/blog/cspine-clearance-ct]]     * see [[https://www.nuemblog.com/blog/cspine-clearance-ct]]
spine_injury_cx.txt · Last modified: 2021/05/02 11:51 by wh