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Correspondence
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Volume 343:1338-1339 November 2, 2000 Number 18
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Clinical Criteria to Rule Out Cervical-Spine Injury

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 by Hoffman, J. R.
To the Editor: The report by Hoffman et al. (July 13 issue)1 is a validation of the clinical criteria that most emergency physicians currently use to exclude the possibility of traumatic injury to the cervical spine. In the study, a standard three-view set of radiographs was used unless the physician decided to use computed tomographic (CT) images or to order additional views, such as oblique or flexion–extension views. Many consider five views — cross-table lateral, anteroposterior, open-mouth, and right and left obliques — to be the standard.2,3 Because some of the standard views were omitted and the sensitivity of the . . . [Full Text of this Article]

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