Clinical Edge

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Key risk factors of pediatric cervical spinal injury identified

Key clinical point: Future development of a prediction rule may lower use of unnecessary cervical spine imaging and its radiation exposure.

Major finding: The greatest independent associations with pediatric CSI were substantial head injury, signs of traumatic brain injury, respiratory failure and intubation, and head-first impacts.

Study details: Prospective cohort study of 4,091 participants.

Disclosures: The National Institutes of Health funded the study, and Dr. Leonard received a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The authors had no relevant disclosures.


Leonard J et al. Pediatrics. 2019;144(1):e20183221.