Analysis of Cervical Angiograms in Cervical Spine Trauma Patients, Does it Make a Difference?

Clinical Spine Surgery : a Spine Publication
Tina DregerJennifer Brechbuehler

Abstract

Retrospective review. To evaluate computed tomography angiogram (CTA) use for diagnosing blunt vertebral artery injury (BVAI) at a single institution, to assess the incidence of BVAI in the studied population, and determine if diagnosis affected care. We also wanted to evaluate if testing and treatment resulted in complications. BVAI is an example of a previously underdiagnosed injury. Ease of CTA has simplified vertebral artery evaluation. Injury to the vertebral or carotid arteries is diagnosed in approximately 0.1% of blunt trauma patients when there is high clinical suspicion, or when symptoms of central nervous system damage are apparent on initial examination. Routine screening of asymptomatic patients increases the incidence to approximately 1%. After IRB approval, the hospital trauma registry identified patients aged 18-89 presenting with cervical spine fracture from 2006 to 2011. A retrospective review of charts was completed. Data collection included demographic data, fracture pattern, and neurological findings. The indications for and the results of CTA was also reviewed. The type of treatment and any complications were recorded. A total of 637 charts reviewed. A total of 108 subjects underwent CTA/magnetic resonance...Continue Reading

References

Apr 18, 2000·Annals of Surgery·W L BifflJ M Burch
Nov 1, 1961·Journal of Neurosurgery·S CARPENTER
Nov 11, 2003·The Journal of Trauma·C Clay CothrenJon M Burch
Jun 6, 2008·Journal of Spinal Disorders & Techniques·Daniel R FassettAlexander R Vaccaro
Jan 10, 2009·The Journal of Trauma·Deborah M SteinThomas M Scalea
Sep 13, 2011·The Journal of Trauma·Tammy R KopelmanMelissa A Pressman

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Citations

Sep 5, 2018·The Journal of Bone and Joint Surgery. American Volume·Daniel G TobertAndrew J Schoenfeld
Jul 28, 2019·Spine·Mitchell S FourmanWilliam F Donaldson

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