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Initial imaging strategies in spinal trauma patients

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Abstract

A review is presented of the radiographs that should be taken of the spine of a severely injured spinal trauma patient within the first 24 h. The patient will probably present to a small local hospital or health care centre; the capacities and skills of such a small radiological unit are discussed. Consideration is then given to the radiological procedures which a specialized trauma centre should undertake after transfer of the patients. The main emphasis of the review is on plain films.

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References

  1. 1.

    Kreipke DL, Gillespie KR, McCarthy MC, Lappas JC et al. (1989) Reliability of indications for cervical spine films in trauma patients. J Trauma 29: 1438–1439

  2. 2.

    Mirvis SE, Diaconis JN, Chirico PA, Reiner BI et al. (1989) Protocol-driven radiologic evaluation of suspected cervical spine injury: efficacy study. Radiology 170: 831–834

  3. 3.

    Vandermark RM (1990) Radiology of the cervical spine in trauma patients: practice pitfalls and recommendations for improving efficiency and communication. Am J Roentgenol 155: 465–472

  4. 4.

    Harris JH Jr, Edeiken-Monroe B (1987) The radiology of acute cervical spine trauma. 2nd edn. Williams and Wilkins, Baltimore

  5. 5.

    Bohlmann HH (1979) Acute fractures and dislocations of the cervical spine — an analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg 61 A: 1119–1142

  6. 6.

    Freemyer B, Knopp R, Piche J, Wale L et al. (1989) Comparison of five-view and three-view cervical spine series in the evaluation of patients wth cervical trauma. Ann Emerg Med 18: 818–821

  7. 7.

    Acheson MB, Livingston RR, Richardson ML, Stimac GK (1987) High-resolution CT scanning in the evaluation of cervical spine fractures: comparison with plain film examination. Am J Roentgenol 148: 1179–1185

  8. 8.

    Reid DC, Henderson R, Saboe L, Miller JDR (1987) Etiology and clinical course of missed spine fractures. J Trauma 27: 980–986

  9. 9.

    Daffner RH, Deeb ZL, Goldberg AL, Kandabarow A et al. (1990) The radiologic assessment of post-traumatic vertebral stability. Skeletal Radiol 19: 103–108

  10. 10.

    Kaye JJ, Nance EP Jr (1990) Thoracic and lumbar spine trauma. R Clin North Am 28: 361–377

  11. 11.

    Keene JS, Fischer SP, Vanderby R Jr, Drummond DS et al. (1989) Significance of acute posttraumatic bony encroachment of the neural canal. Spine 14: 799–802

  12. 12.

    Hashomoto T, Kaneda K, Abumi K (1988) Relationship between traumatic spinal canal stenosis and neurological defitis in thoracolumbar burst fractures. Spine 13: 1268–1272

  13. 13.

    Herndon WA, Galloway D (1988) Neurologic return versus cross-sectional canal area in incomplete thoracolumbar spinal cord injuries. J Trauma 28: 680–683

  14. 14.

    Chakera TMH, Bedbrook G, Bradley CM (1988) Spontaneous resolution of spinal canal deformity after burst-dispersion fracture. Am J Neuroradiol 9: 779–785

  15. 15.

    Bracken MB, Shepard MJ, Collins WF, Wolford TR et al. (1990) A randomized controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury: results of the second national acute spinal cord injury study. N Engl J Med 322: 1405–1411

  16. 16.

    Janssen L, Hansebout RR (1989) Pathogenesis of spinal cord injury and newer treatments: a review. Spine 14: 23–32

  17. 17.

    Gertzbein SD, Court-Brown CM, Marks P, Martin C et al. (1988) The neurological outcome following surgery for spinal fractures. Spine 13: 641–644

  18. 18.

    Clark CR, Igram CM, El-Khoury GY, Ehara S (1988) Radiographic evaluation of cervical spine injuries. Spine 12: 742–747

  19. 19.

    Larsson E-M, Hellas S, Cronqvist S (1988) Emergency magnetic resonance examination of patients with spinal cord symptoms. Acta Radiol 29: 69–75

  20. 20.

    Hackney DB (1990) Denominators of spinal cord injury. Radiology 177: 18–20

  21. 21.

    Bondurant FJ, Cotler HB, Kulkarni MV, McArdle CB et al. (1990) Acute spinal cord injury. A study using physical examination and magnetic resonance imaging. Spine 15: 161–168

  22. 22.

    Flanders AE, Schaefer DM, Doan HT, Mishkin MM et al. (1990) Acute cervical spine trauma: correlation of MR imaging finding with degree of neurologic deficit. Radiology 177: 25–33

  23. 23.

    Broom MJ, Raycroft JF (1988) Complications of fractures of the cervical spine in ankylosing spondylitis. Spine 13: 763–766

  24. 24.

    Graham P, van Peteghem PK (1989) Fractures of the spine in ankylosing spondylitis: diagnosis, treatment and complications. Spine 14: 803–807

  25. 25.

    Ehara S, El-Khoury GY, Sato Y (1988) Cervical spine injury in children: radiologic manifestation. Am J Roentgenol 151: 1175–1178

  26. 26.

    Pang D, Pollack IF (1989) Spinal cord injury without radiographic abnormality in children — the SCIWORA syndrome. J Trauma 29: 654–664

  27. 27.

    Gupta A, El Masri W (1989) Multilevel spinal injuries. Incidence, distribution and neurological patterns. J Bone Joint Surg 71 B: 692–695

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Correspondence to Erkki M. Laasonen.

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Laasonen, E.M., Kinnunen, J. & Paakkala, T. Initial imaging strategies in spinal trauma patients. Eur. Radiol. 2, 273–276 (1992). https://doi.org/10.1007/BF00595845

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Key words

  • Spinal canal stenosis
  • Spinal cord compression
  • Spine dislocations
  • Spinal fractures
  • Spinal injuries