October 17, 2001

Identifying Patients at Low Risk for Cervical Spine InjuryThe Canadian C-Spine Rule for Radiography

Author Affiliations

Author Affiliation: Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, Pa.

JAMA. 2001;286(15):1893-1894. doi:10.1001/jama.286.15.1893

One of the most challenging clinical issues for physicians who care for trauma patients involves the evaluation of possible cervical spine (C-spine) injury. Emergency physicians, trauma surgeons, and radiologists face the dilemma of having to evaluate low-risk patients while dealing with attempts at cost containment on the part of hospital administrators and third-party payers. In addition, the threat of a lawsuit for missed spinal injury has led many physicians to practice "defensive medicine," and consequently routinely obtain C-spine radiography for most trauma patients.

First Page Preview View Large
First page PDF preview
First page PDF preview