A 30-year-old man presents after a high-speed motor vehicle collision. He is alert with neck pain but no neurological deficit. CT cervical spine is no...

Question

A 30-year-old man presents after a high-speed motor vehicle collision. He is alert with neck pain but no neurological deficit. CT cervical spine is not immediately available. According to validated clinical decision rules (e.g. Canadian C-Spine Rule), which of the following would allow safe clinical clearance of the cervical spine without imaging?

Accepted Answer

Simple rear-end collision, ambulatory at scene and no midline tenderness

Answer

Age 70 years with paraesthesia in the extremities

Answer

High-speed mechanism with rollover

Answer

Midline cervical tenderness

Answer

Inability to actively rotate neck

au-amc MCQ (SBA): Cervical spine injury risk assessment