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Prospective Evaluation Of Computed Tomographic Scanning For The Spinal Clearance Of Obtunded Trauma Patients: Preliminary Results.

Widder s Doig C., Burrowes P., Larsen G Hurlbert J Kortbeek, J J Trauma. 2004; 56(6): 1179-1184

REVIEWER INTRODUCTION: Spinal clearance of the obtund trauma patient continues to be a challenging clinical dilemma. An obtund patient cannot report neck tendernes thereby rendering a physical examination unreliable. Spinal injury, in the neighborhood of major head injury, ranges from 5% to as high as 10-20% It is essential to be able to recognize and manage cervical spine injuries early to interrupt additional neurologic outcomes. In addition, ruling on the outside spinal injury and





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