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 | Announcing: The launch of the EM Practice blog: empractice.wordpress.com |
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Emergency Evaluation Of The Pediatric Cervical Spine

While cervical spine injuries (CSIs) in children are relatively rare, acute care providers are often called upon to assess pediatric
patients for CSI as part of an overall trauma evaluation. The developing
cervical spine has unique anatomic and biomechanical features
that impact injury patterns and outcomes. Certain genetic and metabolic anomalies can also predispose patients to additional harm. Prompt stabilization at the scene and accurate diagnostic evaluation in the emergency department (ED) are imperative; not recognizing a CSI can prove disastrous. Several developmental anatomic and radiographic findings can simulate injury and make radiographic clearance of the cervical spine more challenging in children.
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