Skip to main content

Cervical Hyperextension Injuries

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Class of neck injuries typically seen in rapid, forceful extension of the cervical spine

  • Flexion–extension injuries (“whiplash”) are usually from motor vehicle accidents (MVAs).

  • Other ...

DIAGNOSIS

HISTORY

Usually acute presentation with mechanism of cervical hyperextension and complaints of neck pain, stiffness, or headaches ± neurologic symptoms; include Glasgow Coma Scale (GCS). 

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

  • Whiplash, WAD

    • Limited or no benefit to cervical collar. If provided, use for <72 hours.

    • No advantage to engaging early multiprofessional intervention (e.g., pain management ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Follow patients with known injuries using serial imaging under the care of a specialist. 

PATIENT EDUCATION

ThinkFirst Foundation: http://www.thin...

REFERENCES

1
National Spinal Cord Injury Statistical Center. Spinal Cord Injury: Facts and Figures at a Glance. Birmingham, AL: National Spinal Cord Injury Statistical Center; 2017. [View Abstract on O...

ADDITIONAL READING

  • Franz RW, Willette PA, Wood MJ, et al. A systematic review and meta-analysis of diagnostic screening criteria for blunt cerebrovascular injuries. J Am Coll Surg.  2012;214(3):3...

CODES

ICD10

  • S13.4XXA Sprain of ligaments of cervical spine, initial encounter

  • S13.101A Dislocation of unspecified cervical vertebrae, init encntr

  • S14.109A Unsp injury at unsp level of cervical spinal cor...

CLINICAL PEARLS

  • Use NEXUS or CCR to determine need for imaging in every patient with a potential neck injury.

  • Always perform imaging if clinical judgment suggests the need to do so.

  • Inquire about preexi...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×