What is normal cervical spine?
The cervical spine’s range of motion is approximately 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides.
Is cervical spine injury common in children?
Purpose: Cervical spine (C-spine) injuries occur infrequently in children but may be associated with significant disability and mortality.
How do you rule out C-spine?
The NEXUS criteria state that a patient with suspected c-spine injury can be cleared providing the following:
- No posterior midline cervical spine tenderness is present.
- No evidence of intoxication is present.
- The patient has a normal level of alertness.
- No focal neurologic deficit is present.
Where is C3 C4 C5 C6?
cervical spine
The C3, C4, and C5 vertebrae form the midsection of the cervical spine, near the base of the neck. A cervical vertebrae injury is the most severe of all spinal cord injuries because the higher up in the spine an injury occurs, the more damage that is caused to the central nervous system.
Is it normal for C7 to stick out?
The vertebra located at the base of your neck, the cervical C7 vertebrae is also called the first thoracic vertebrae. It’s the one that feels like it sticks out when you run your hand down the back of your neck. It’s directly associated, when out of alignment, with issues like shoulder and elbow bursitis.
What is Nexus positive?
NEXUS-positive patients were defined as patients who met one or more of the low risk criteria and therefore were not considered low risk for cervical spine injury. NEXUS-negative patients were defined as those who met none of the criteria (Table 1).
When can you clear c spine?
The goal is to clear the C-spine within four hours. If there is a significant painful “distracting” injury, then the goal is to clear the C-spine in less than 12 hours. iii. If the CT shows abnormalities, then the orthopedic or neurosurgical spine service should be consulted prior to removing the collar.