Low-risk patients for cervical injury, as defined by the NEXUS or Canadian criteria, generally do not need any imaging. For patients who require imaging, many can be evaluated with plain radiographs alone. Patients with multi-system injuries are best evaluated with CT as their initial imaging modality. MRI is indicated for suspected cervical ligamentous injury or spinal cord injury. CT angiogram and MR angiogram have utility in identifying cervical vascular injury.
Lisa Freeman Grossheim; Kevin Polglaze; Rory Smith
April 2, 2009