Suspected Spine Trauma - Children

Question 1

Variant 1
Child, 3 to 16 years of age, acute cervical spine trauma, meets low risk criteria (based on
PECARN or NEXUS).

Initial imaging.

Answer 1

images not appropriate

Question 2

Variant 2
Child, 3 to 16 years of age, acute cervical spine trauma, at least one risk factor with reliable
clinical examination (based on PECARN or NEXUS).

Initial imaging.

Answer 2

1. radiographs (green)
2. CT without contrast (yellow)
3. MRI without contrast (yellow)

Question 3

Variant 3
Child, younger than 3 years of age, acute cervical spine trauma,

Pieretti-Vanmarcke weighted score greater than or equal to 2 to 8 points.

Initial imaging.

Answer 3

1. Radiographs (green)

2. MRI without contrast (yellow)

Question 4

Variant 4
Child, younger than 16 years of age, suspected thoracolumbar spine trauma.
Initial imaging

Answer 4

1. radiographs (green)
2. CT without contrast (yellow)
3. MRI without contrast (yellow)