Abstract
Unstable Multi-Level Ligamentous Injury of the Cervical Spine in an Adolescent
Highlights
Cervical spine injuries are a relatively rare occurrence, even within the trauma population
We examine a case report of an adolescent suffering an atypical multi-level disc-and-ligamentous injury of the cervical spine during rugby
The incidence of cervical spine injuries within the paediatric population is even lower, with a five year review of the American National Trauma Data Bank demonstrating an incidence of 1.59% in the trauma population under 3 years of age [2]
Summary
Cervical spine injuries are a relatively rare occurrence, even within the trauma population. Methods: We examine a case report of an adolescent suffering an atypical multi-level disc-and-ligamentous injury of the cervical spine during rugby. Within the UK, BOAST, ATLS and NICE all advocate the use of fine slice helical CT scans as standard to identify cervical injuries in high risk adults (according to the Canadian cervical-spine rules) due to their increased sensitivity over radiographs (99% vs 93%) and debate over the lower specificity of MRI scans [5,6,7,8,9,10].
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