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Letter to the editor : likelihood of tetraplegia after CT clearance of the cervical spine in obtunded blunt trauma patients

van Middendorp, Joost & Schuetz, Michael (2011) Letter to the editor : likelihood of tetraplegia after CT clearance of the cervical spine in obtunded blunt trauma patients. Journal of Neurotrauma.

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Abstract

...the probabilistic computer simulation study by Dunham and colleagues evaluating the impact of different cervical spine management (CSM) strategies on tetraplegia and brain injury outcomes.1 Based on literature findings, expert opinion and with use of advances programming techniques the authors conclude that early collar removal without cervical spine magnetic resonance imaging (MRI) is a preferable CSM strategy for comatose, blunt trauma patients with extremity movement and a negative cervical spine computed tomography(CT) scan. Although we do not have the required expertise to comment on the applied statistical approach, we would like to comment on one of the medical assumptions raised by the authors, namely the likelihood of tetraplegia in this specific population....

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ID Code: 46392
Item Type: Other
Additional Information: Journal article Journal of neurotrauma J Neurotrauma. 2011 Jun 8.
Keywords: cervical spine, tetraplegia, CT, spine
DOI: 10.1089/neu.2011.1965
ISSN: 1557-9042 (Electronic) 0897-7151 (Linking)
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2011 Mary Ann Liebert
Deposited On: 12 Oct 2011 09:07
Last Modified: 14 Oct 2011 01:52

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