Viccellio P, Simon H, Pressman B, et al (2001). Pediatrics.

Abstract Conclusions:

“The lower cervical spine is the most common site of CSI [cervical spine injury] in children, and fractures are the most common type of injury. CSI is rare among patients aged 8 years or younger. The NEXUS decision instrument performed well in children, and its use could reduce pediatric cervical spine imaging by nearly 20%. However, the small number of infants and toddlers in the study suggests caution in applying the NEXUS criteria to this particular age group.”