Role of cervical spine MRI in the setting of negative cervical spine CT in blunt trauma: Critical additional information in the setting of clinical findings suggestive of occult injury

•CT occult cervical spine injuries are common in blunt trauma and MRI is useful in identifying them.•Upper extremity deficit and others are important clinical indications for MRI.•These indications have positive predictive values of 20% and higher.•Positive cervical spine MRI alters patient management in the majority of the cases.•Surgical intervention is infrequently needed in this population though not trivial.