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THE UNIVERSITY OF ADELAIDE
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Publication Details

TitleRoad crash cervical injuries: A radiological study of fatalities
AuthorsCain CMJ, Simpson DA, Ryan GA, Manock CH, James RA
Year1989
TypeJournal Article
AbstractA lateral radiograph of the cervical spine was obtained for 174 of the 207 persons killed in road crashes in Adelaide, South Australia, during the 12-month period of June 1, 1987 to May 31, 1988. Of the total of 57 cases of cervical injury, routine postmortem examination identified 30 cases (52.6%), and the radiographic examinations identified 51 cases (89.5%). In the cases where it was performed, radiography identified 96.2% of injuries. One-half of injuries of level C3 and above were not reported at postmortem examination, compared with 22% of those occurring below this level. This finding correlates with the physical difficulties of examining the upper part of the cervical spine. This study has shown that lateral cervical radiography is a simple and effective method of more accurately identifying significant cervical spinal injuries, thus improving greatly the value of postmortem examinations in determining the patterns and mechanisms of these injuries.
Journal TitleThe American Journal of Forensic Medicine and Pathology
Journal Volume (Issue)10(3)
Page Range193-195

Reference
Cain CMJ, Simpson DA, Ryan GA, Manock CH, James RA (1989) 'Road crash cervical injuries: A radiological study of fatalities', The American Journal of Forensic Medicine and Pathology, 10(3), pp 193-195.