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Journal of Research in Medical Sciences، جلد ۲۰۱۴، شماره ۰۱، صفحات ۰-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Role of Cervical Spine Radiography in Initial Evaluation of Stable High Energy Blunt Trauma Patients
چکیده انگلیسی مقاله Background: In a trauma patient detecting the cervical spine injuries is one of the most important matter because undetected injuries in the cervical spine may result in severe neurological disability probably quadriplegia. Thus radiography of the cervical spine is considered mandatory in initial evaluation of a trauma patient according to the Advanced Trauma Life Support (ATLS). This approach results in high number of normal radiographies which can be referred as unnecessary radiographies. Thus we performed this study in order to determine the role of routine cervical radiography in initial evaluation of stable high energy blunt trauma patient. Materials and Methods: This was a prospective cross-sectional study including all the hemodynamically stable high energy blunt trauma patients with negative cervical physical examination referring to our trauma center during a 5-month period (May to September 2010). Cervical radiographies, computed tomography (CT) scanning and magnetic resonance imaging (MRI) were performed and reviewed for abnormalities. Results: During the study period, 1679 high energy blunt trauma patients referred to our center out of which 400 were hemodynamically stable and had negative cervical physical examination. Cervical radiographies were found to be normal in all the patients. Conclusion: Cross-table cervical spine radiographies can be limited to those high energy blunt trauma patients who have positive cervical physical examination or those in whom physical examination is not revealing. These radiographies also have low value for detecting occult cervical spine fractures and CT imaging is considered the modality of choice in these cases. Keywords: Cervical Radiography; Blunt Trauma; Spine Normal 0 false false false EN-US X-NONE AR-SA /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;}
کلیدواژه‌های انگلیسی مقاله Cervical Radiography,Blunt Trauma,Spine
نویسندگان مقاله فریبرز غفارپسند | fariborz ghaffarpasand
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

شهرام پایدار | shahram paydar
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

مهدی فروغی | mehdi foroughi
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

علی صابری | ali saberi
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

شهرام بلندپرواز | shahram bolandparvaz
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

حمیدرضا عباسی | hamidreza abbasi
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

مریم dehghankhlili | maryam dehghankhlili
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

بابک ملک پور | babak malekpour
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

علی اصغر کریمی | ali asghar karimi
trauma research center, shiraz university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/9752
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Articles
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