BACKGROUND: Early cervical spine clearance is extremely important in unconscious @entity130 @entity1 and may be difficult to achieve in emergency setting. OBJECTIVES: The aim of this study was to assess the feasibility of standard portable ultrasound in detecting potentially unstable cervical spine injuries in severe @entity131 ( @entity131 ) @entity1 during initial resuscitation. MATERIALS AND METHODS: This retro-prospective pilot study carried out over 1-month period (June-July 2013) after approval from the institutional ethics committee. Initially, the technique of cervical ultrasound was standardized by the authors and tested on ten admitted @entity1 of cervical @entity130 . To assess feasibility in the emergency setting, three hemodynamically stable pediatric @entity1 (   18 years) with isolated severe @entity542 (Glasgow @entity772 scale  <=8) coming to emergency department underwent an ultrasound examination. RESULTS: The best window for the cervical spine was through the anterior triangle using the linear array probe (6-13 MHz). In the ten @entity1 with documented cervical @entity130 , bilateral facet dislocation at @entity2244 was seen in 4 @entity1 and at @entity2483 was seen in 3 @entity1 . @entity2244 was present in one and cervical vertebra (C2) anterolisthesis was seen in one @entity1 . Cervical ultrasound could easily detect fracture lines, canal compromise and @entity130 in all cases. Ultrasound examination of the cervical spine was possible in the emergency setting, even in unstable @entity1 and could be done without moving the neck. CONCLUSIONS: Cervical ultrasound may be a useful tool for detecting potentially unstable cervical @entity130 in @entity131 @entity1 , especially those who are hemodynamically unstable.

Assessment of ultrasound as a diagnostic modality for detecting potentially unstable cervical spine fractures in pediatric severe XXXX : A feasibility study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2244 :: ('MESH:C537005', 'Disease') :: ['C5 burst fracture', 'C5-C6'] @entity131 :: ('MESH:D001930', 'Disease') :: ['traumatic brain injured', 'TBI'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma'] @entity2483 :: ('MESH:C566443', 'Disease') :: ['C6-C7'] @entity130 :: ('MESH:D014947', 'Disease') :: ['spine injury', 'ligamental injury', 'trauma']
@entity131 :: (MESH:D001930,Disease) :: ['traumatic brain injury']
