{"id":12026,"date":"2022-10-13T10:17:56","date_gmt":"2022-10-13T08:17:56","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=12026"},"modified":"2022-10-13T10:17:56","modified_gmt":"2022-10-13T08:17:56","slug":"nexus-criteria","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/nexus-criteria\/","title":{"rendered":"NEXUS criteria"},"featured_media":12027,"template":"","class_list":["post-12026","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12027,"background_image_alt_text":"Canadian C-Spine Rules"},"heading":"NEXUS criteria | Cervical Fracture Screening","subheading":"Screening","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":"","button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>NEXUS criteria | Cervical Fracture Screening<\/h2>\n<span style=\"font-weight: 400;\">In another post, we discussed the <a href=\"https:\/\/www.physiotutors.com\/wiki\/canadian-c-spine-rules\/\">Canadian C-Spine rules<\/a> used to rule out fractures of the cervical spine that would demand radiographic imagery. The Nexus criteria are another tool for the same purpose of reducing the need for radiographs after blunt trauma to the head.\u00a0<\/span>\n\n<span style=\"font-weight: 400;\">In a review by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23048086\/\" target=\"_blank\" rel=\"noopener\">Michaleff et al. (2012)<\/a>, the reported sensitivity ranges from 83-100% and specificity from 2-46%. <\/span>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=0vDualefIEM[\/embed]\n\n<\/div>\n<span style=\"font-weight: 400;\">If any of the following NEXUS criteria are present, imaging is recommended:<\/span>\n<ul>\n \t<li><span style=\"font-weight: 400;\">Focal Neurologic Deficits (such as paralysis, paresthesia, speech vision and or hearing problems)<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">Midline Spinal Tenderness<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">Altered Level of Consciousness<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">Intoxication<\/span><\/li>\n \t<li><span style=\"font-weight: 400;\">Distracting Injury (another serious injury in a different body part that could distract from the neck injury)<\/span><\/li>\n<\/ul>\n<span style=\"font-weight: 400;\">An easy mnemonic to remember the rule is NSAID. <\/span>\n\n&nbsp;\n\n[cta]\n\n&nbsp;\n\nAnother common screening tool for cervical fractures are the <a href=\"https:\/\/www.physiotutors.com\/wiki\/canadian-c-spine-rules\/\">Canadian C-Spine Rules<\/a>. If you want to screen for fractures in other body parts, check out the list below:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/elbow-extension-test\/\">Elbow Extension Test (Elbow)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/caradeniz-wrist-rule\/\">Caradeniz Wrist Rules (Wrist)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/supine-sign\/\">Supine Sign (Thoracic Spine)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/closed-fist-percussion-test\/\">Closed-Fist Percussion Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/patellar-pubic-percussion-test\/\">Patellar Pubic Percussion Test (Hip)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/fulcrum-test\/\">Fulcrum Test (Femur)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ottawa-knee-rules\/\">Ottawa Knee Rules (Knee)<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ottawa-ankle-rules\/\">Ottawa Ankle Rules (Ankle &amp; Foot)<\/a><\/li>\n<\/ul>\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23048086\/\" target=\"_blank\" rel=\"noopener\">Michaleff, Z. A., Maher, C. G., Verhagen, A. P., Rebbeck, T., &amp; Lin, C. W. C. (2012). Accuracy of the Canadian C-spine rule and NEXUS to screen for clinically important cervical spine injury in patients following blunt trauma: a systematic review.\u00a0<i>Cmaj<\/i>,\u00a0<i>184<\/i>(16), E867-E876.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32965634\/\" target=\"_blank\" rel=\"noopener\">Ghelichkhani, P., Shahsavarinia, K., Gharekhani, A., Taghizadieh, A., Baratloo, A., Fattah, F. H. R., ... &amp; Hosseini, M. (2021). Value of Canadian C-spine rule versus the NEXUS criteria in ruling out clinically important cervical spine injuries: derivation of modified Canadian C-spine rule.\u00a0<i>La radiologia medica<\/i>,\u00a0<i>126<\/i>(3), 414-420.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>NEXUS criteria | Cervical Fracture Screening<\/title>\n<meta name=\"description\" content=\"The NEXUS criteria are a valid tool to rule out fractures of the cervical spine after trauma. 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