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- W2028247296 abstract "Background Between 1994 and 1999, 837 flexion-extension cervical spine films (F/E) were ordered as part of a protocol to evaluate cervical stability in blunt trauma victims, particularly obtunded patients with otherwise normal films. After 5 years’ experience with this protocol, a review of its efficiency and cost-effectiveness was performed. Method The radiology reports and charts were reviewed for positive or suggestive F/E series. Results Nearly a third of all series were inadequate to rule out instability. Only four patients were identified who had decreased admission Glasgow Coma Scale score, normal plain films and/or CT, and positive or suggestive findings on F/E. One was felt to be a false positive, and the others had minor or borderline findings; all were treated with continuation of the cervical collar. Although one patient was lost to follow-up, none of the other three required subsequent surgery or developed deformity or neurologic injury. Conclusion Flexion-extension studies were not a cost-effective part of the protocol, and they were dropped." @default.
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- W2028247296 date "2002-01-01" @default.
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- W2028247296 title "Flexion and Extension Views Are Not Cost-Effective in a Cervical Spine Clearance Protocol for Obtunded Trauma Patients" @default.
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- W2028247296 doi "https://doi.org/10.1097/00005373-200201000-00011" @default.
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