Evidence map›Paper›PMID 41393582›Full record

ArticleCureus2025

Development of a Hybrid Cervical Spine Clearance Algorithm in Trauma: Tackling the Challenges of the NEXUS Criteria and Canadian Cervical Spine Rule Utilization in a Low-Volume Tertiary Neuroscience Unit.

Henry E Ajah, Obiamaka O Nzekwu

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Henry E AjahNeurosurgery, Imperial College Healthcare National Health Services (NHS) Trust, London, GBR.
Obiamaka O NzekwuNeurology, Regions Stroke and Neuroscience Hospital, Imo State, NGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Missed cervical spine injuries can have a devastating impact on the outcome of the trauma patient. Prolonged and unwarranted immobilization should also be avoided to reduce the risk of any potential complications. A systematic method to decide on the possibility of cervical spine injury early is therefore paramount. The Canadian C-spine (cervical spine) rule and the NEXUS (National Emergency X-Radiography Utilization Study) criteria are internationally validated methods of resolving the cervical spine in trauma patients. Peculiarities of patient populations can limit the utility of these tools, and local trauma units often need to adapt guidelines to suit their circumstances. This article describes the development of a local guideline, a hybrid protocol for the clearance of the cervical spine in adult trauma patients, applicable to a broader patient group, its advantages, preliminary impact, and the possibility of wider adoption.

Indexed as

cervical immobilizationcervical spinecollarspinal traumatrauma

Identifiers

PMID41393582
PMCPMC12701536

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.