Cervical or Neck Pain

Overview

CPG Selection

Trauma (CPG1A)Non-Trauma (CPG1B)

CPG 1A - Trauma

Abstract
AUC Description Imaging Modality GRADE / Evidence Summary of Findings Risk of Bias QOE of Recommendation ICD 10 Codes
PICO #1: In patients with cervical/neck trauma, can a clinical diagnostic rule be used for risk assessment compared to initial imaging for optimal patient management? No imaging recommended (NORAD) 2A Table Table Table S12, S13,S16
PICO #2: In patients with blunt traumatic cervical/neck pain, should radiography (XR) or computerized tomography (CT) be used for initial imaging assessment for optimal diagnostic accuracy? CT 2A Table Table Table S12, S13,S16
PICO #3: In patients with blunt traumatic cervical/neck pain, when should magnetic resonance (MR) imaging be performed for optimal patient management? MR 2A Table Table Table S12, S13,S16
PICO #4: In adults with cervical trauma, and concern for vascular injury, should CT angiography or MR angiography be performed for optimal patient management? CTA 3A Table Table Table S12, S13,S16

CPG 1B - Non-Trauma

Abstract
AUC Description Imaging Modality GRADE / Evidence Summary of Findings Risk of Bias QOE of Recommendation ICD 10 Codes
PICO #1: In adults with non-traumatic neck pain, is imaging always warranted for initial evaluation? No imaging recommended (NORAD) 3A Table Table Table M47.12,M47.22, M47.812,M47.892, M48.02,M48.32, M48.42,M48.52, M50,M54.12,M54.2
PICO #2: In adults with non-traumatic neck pain, when is XR required as the initial imaging modality for optimal patient management? XR 3A Table Table Table M47.12, M47.22, M47.812,M47.892, M48.02,M48.32, M48.42,M48.52,M50, M54.12,M54.2
PICO #3: In adults with non-traumatic neck pain, what is the role of Computed Tomography (CT) imaging modalities for optimal management? CT 3A Table Table Table M47.12,M47.22, M47.812,M47.892, M48.02,M48.32, M48.42,M48.52, M50,M54.12,M54.2
PICO #4: In adults with non-traumatic neck pain, what clinical findings warrant Magnetic Resonance (MR) imaging for optimal management? MR 3A Table Table Table M50,M54.2,M54.1
PICO #5: In adults with non-traumatic neck pain in whom there is a concern for pathologic vertebral fracture, which imaging modality provides optimal diagnostic assessment? MR for pathologic vertebral Fx 3A Table Table Table M47.12,M47.22, M47.812,M47.892, M48.02,M48.32, M48.42,M48.52 M50,M54.12,M54.2
PICO #6: In adults with non-traumatic radicular neck pain, which imaging modality is preferred to facilitate interventional pain management procedures? Fluoro/CT Guidance 4B Table Table Table M47.12,M47.22, M47.812,M47.892, M48.02,M48.32, M48.42,M48.52, M50,M54.12,M54.2
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