TY - JOUR PY - 1988// TI - The incidence of injury to the cervical spine in patients with craniocerebral injury JO - Journal of trauma A1 - Ross, S. E. A1 - O'Malley, K. F. SP - 1476 EP - 1478 VL - 28 IS - 10 N2 - Estimates of the incidence of injury to the cervical spine among patients suffering blunt trauma to the head vary widely, and have been reported to be as high as 20%. Since strict observation of cervical spine precautions may delay attempts to gain control of the airway in a patient with an intracranial injury, the risk involved needs more exact definition. In an attempt to quantify this risk, the records of 1,272 consecutive patients with blunt injuries admitted to a Level I regional trauma center were reviewed. Patients with serious craniocerebral injury were at no greater risk for injury to the cervical spine than patients without trauma to the head (1.8% vs. 3.5%, p = NS by Chi-square analysis). Although observance of cervical spine precautions is usually paramount, there may be times when this concern is superceded by the need to gain definitive airway control in a patient with injury to the brain. LA - SN - 0022-5282 UR - http://dx.doi.org/ ID - ref1 ER -