The second decision rule was the Canadian Cervical-Spine Rule (CCR) developed in 2001 in ten Canadian emergency departments. In 1992, The National Emergency X-Radiography Utilization Study (NEXUS) Low-Risk Criteria (NLC) developed one simple decision making instrument based on five clinical criteria ( Table 1) that can help physicians to identify reliably the patients who need CSR after blunt trauma. Two decision rules have been developed independently to permit more selective ordering of CSR, more rapid ruling out of injury to the cervical for patients, decrease patients’ exposure to ionizing radiation and economic losses. Missing a cervical-spine fracture is an obsession of many emergency departments’ physicians, leading to unnecessary cervical-spine radiography (CSR). The high rate of inadequate CSR reinforces the debate about it’s utility in emergency condition.Ĭervical blunt trauma is major health problem in developed countries. Other causes included the absence of open mouth view (8%), the absence C1 vertebrae visualization (3.4%), artifact in 2.3% and the absence of lateral view in 0.6% of patient.ĬCR and NEXUS are widely used in our emergency department. The poor quality of CSR was due either to the lack of C7 vertebrae visualization in 64.6% or other lower vertebrae in 28%. The quality of CSR was adequate in only 37.7% of patient. A lesion was present in 1.1% of patient and suspected in 2.5% of patient. No lesions were found in 96.4% of patient. The CCR and the NEXUS rules were respected in 91.2% and 96.8% of cases respectively. Secondly we analyzed the quality of cervical spine radiography (CSR) in an emergency setting.Ģ81 patients with cervical blunt trauma were analyzed retrospectively. We aimed to evaluate retrospectively the application of these recommendations in our emergency department. The Canadian C Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (Nexus) low criteria are well accepted as guide to help physician in case of cervical blunt trauma. William Ngatchou, Department of Cardiac Surgery and Emergency medicine St Pierre Hospital, Brussels, Belgium William Ngatchou 1,&, Jeanne Beirnaert 2, Daniel Lemogoum 3, Cyril Bouland 2, Pierre Youatou 2, Ahmed Sabry Ramadan 2, Regis Sontou 4, Maimouna Bol Alima 5, Alain Plumaker 2, Virginie Guimfacq 6, Claude Bika 7, Pierre Mols 2ġDepartment of Emergency and Cardiac Surgery, St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 2Department of Emergency St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 3Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Belgium, 4Department of Radiology, St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 5Department of Cardiac Surgery, St Luc University Hospital, Université Catholique de Louvain, Belgium, 6Department of Cardiology, Ixelles University Hospital, Université Libre de Bruxelles, Belgium, 7Université de Douala, Cameroun Īpplication of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition
Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Ĭite this article: William Ngatchou et al. Keywords: Cervical spine X-ray, emergency, quality Original article | Volume 30, Article 157, | 10.11604/pamj.2018.30.157.13256 Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition William Ngatchou, Jeanne Beirnaert, Daniel Lemogoum, Cyril Bouland, Pierre Youatou, Ahmed Sabry Ramadan, Regis Sontou, Maimouna Bol Alima, Alain Plumaker, Virginie Guimfacq, Claude Bika, Pierre MolsĬorresponding author: William Ngatchou, Department of Cardiac Surgery and Emergency medicine St Pierre Hospital, Brussels, Belgium
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