Abstract
An estimated 10,000 Americans suffer cervical spine injuries each year. Over 800,000 cervical spine radiographs (CSR) are ordered annually. The human and health care costs of these injuries are enormous especially when diagnosis is delayed. Controversy exists in the literature over the diagnostic accuracy of CSR with reported sensitivity ranging from 35% to 89%. We sought to prospectively compare the sensitivity of cervical CT (CCT) to CSR in the initial diagnosis of blunt cervical spine injury in patients meeting one or more of the NEXUS criteria.
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