{"id":474,"date":"2023-07-10T12:24:42","date_gmt":"2023-07-10T17:24:42","guid":{"rendered":"https:\/\/wp.uthscsa.edu\/surglearning\/?post_type=docs&#038;p=474"},"modified":"2023-07-10T14:32:14","modified_gmt":"2023-07-10T19:32:14","password":"","slug":"adult-cervical-spine-clearance","status":"publish","type":"docs","link":"https:\/\/wp.uthscsa.edu\/surglearning\/docs\/adult-cervical-spine-clearance\/","title":{"rendered":"Adult Cervical Spine Clearance"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_tta-container\" data-vc-action=\"collapse\"><div class=\"vc_general vc_tta vc_tta-accordion vc_tta-color-grey vc_tta-style-classic vc_tta-shape-rounded vc_tta-o-shape-group vc_tta-controls-align-default\"><div class=\"vc_tta-panels-container\"><div class=\"vc_tta-panels\"><div class=\"vc_tta-panel\" id=\"&#8221;1689009968754-1192daa6-2956&#8243;\" data-vc-content=\".vc_tta-panel-body\"><div class=\"vc_tta-panel-heading\"><&#8221;h3&#8243; class=\"vc_tta-panel-title vc_tta-controls-icon-position-left\"><a href=\"#&#8221;1689009968754-1192daa6-2956&#8243;\" data-vc-accordion data-vc-container=\".vc_tta-container\"><span class=\"vc_tta-title-text\">&#8221;Obtunded<\/span><i class=\"vc_tta-controls-icon vc_tta-controls-icon-plus\"><\/i><\/a><\/&#8221;h3&#8243;><\/div><div class=\"vc_tta-panel-body\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4><b>Helical CT scan<\/b><\/h4>\n<ul>\n<li>C0-C3: 1 mm cuts<\/li>\n<li>C3-T1: 2 mm cuts<\/li>\n<li>Coronal and sagittal reformations<\/li>\n<\/ul>\n<h4><b>Normal**<\/b><\/h4>\n<ul>\n<li>REMOVE CERVICAL COLLAR<\/li>\n<\/ul>\n<h4><b>Isolated Transverse process fracture of the subaxial spine (C3-T1)***<\/b><\/h4>\n<ul>\n<li>REMOVE CERVICAL COLLAR<\/li>\n<\/ul>\n<h4><b>Abnormal<\/b><\/h4>\n<ul>\n<li>Further management (MRI, collar, surgery)<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><div class=\"vc_tta-panel\" id=\"&#8221;1689009968754-4d1d8b37-9e49&#8243;\" data-vc-content=\".vc_tta-panel-body\"><div class=\"vc_tta-panel-heading\"><&#8221;h3&#8243; class=\"vc_tta-panel-title vc_tta-controls-icon-position-left\"><a href=\"#&#8221;1689009968754-4d1d8b37-9e49&#8243;\" data-vc-accordion data-vc-container=\".vc_tta-container\"><span class=\"vc_tta-title-text\">&#8221;Definitions&#8221;<\/span><i class=\"vc_tta-controls-icon vc_tta-controls-icon-plus\"><\/i><\/a><\/&#8221;h3&#8243;><\/div><div class=\"vc_tta-panel-body\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4><b>*Obtunded patient<\/b><\/h4>\n<p>Trauma patient who cannot be clinically evaluated and is older than 16 years.<\/p>\n<h4><b>**Normal helical CT scan<\/b><\/h4>\n<p>Normal helical CT scan: determined by radiology faculty reading. <u>Exception:<\/u> significant <i>degenerative<\/i> changes of the cervical spine. These patients should continue to be managed in a collar until a normal clinical exam is possible or MR demonstrates no spinal cord\/ligamentous injury.<\/p>\n<h4><b>***Transverse process fracture<\/b><\/h4>\n<p>Only on subaxial (C3-T1) vertebrae. See image.<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-521\" src=\"https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance-550x281.png\" alt=\"\" width=\"550\" height=\"281\" srcset=\"https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance-550x281.png 550w, https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance-800x409.png 800w, https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance-768x393.png 768w, https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance-640x327.png 640w, https:\/\/wp.uthscsa.edu\/surglearning\/wp-content\/uploads\/sites\/238\/2023\/07\/adult_cervical_spine_clearance.png 900w\" sizes=\"auto, (max-width: 639px) 98vw, (max-width: 1199px) 64vw, 550px\" \/><\/p>\n<p>Anatomic borders of the transverse process in a subaxial cervical vertebra.<\/p>\n<p><cite>Literature: Schotanus et al, Spine 35(19), 1 Sept. 2010, pp E965-E970<\/cite><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div> <a href=\"#\" title=\"\" target=\"\" rel=\"\" class=\"circle  close2x fa-lg\">\n                <i class=\"fa-lg  fas fa-file-pdf \"><\/i>\n                <span>Download the full, unabridged protocol in PDF format.<\/span><\/a> <\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Obtunded Blunt Trauma Patient* Helical CT scan C0-C3: 1 mm cuts C3-T1: 2 mm cuts Coronal and sagittal reformations Normal** REMOVE CERVICAL COLLAR Isolated Transverse process fracture of the subaxial spine (C3-T1)*** REMOVE CERVICAL COLLAR Abnormal Further management (MRI, collar, surgery) Definitions *Obtunded patient Trauma patient who cannot be clinically evaluated and is older than [...]","protected":false},"author":35,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"doc_category":[11],"doc_tag":[],"class_list":["post-474","docs","type-docs","status-publish","hentry","doc_category-adult"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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