Imaging for evaluation of suspected cervical spine trauma: a 2-year analysis

Injury
Richard H DaffnerJ Protetch

Abstract

To examine the role of radiography in screening trauma patients with suspected injury to the cervical spine. Over a period of 2 years, 5172 people were admitted to our trauma service and 297 (5.4%) were found to have cervical fractures. The radiographic and CT films and reports of 245 of these 297 patients were reviewed. The 245 subjects had sustained 309 distinct individual injuries. Radiography detected injuries in 108 cases (44.1%) and CT detected injuries in 243 cases (99.2%). The two fractures missed by CT occurred at C2; one fracture was obscured by dental artefacts and the other was in the horizontal plane of the scan. Both fractures were detected on lateral radiographs of the region. CT is superior to radiography for identification of cervical spine fractures. The fractures most likely to be missed by CT occur at C2. We recommend that CT be used as the primary screening method for people with suspected cervical injury, together with a single lateral view of the cervical spine to include the C2 region.

References

Jan 1, 1990·Skeletal Radiology·R H DaffnerW E Rothfus
Apr 1, 1980·AJR. American Journal of Roentgenology·O P CharltonJ A Gehweiler
Jan 1, 1993·The Journal of Trauma·J H Woodring, C Lee
Aug 1, 1996·AJR. American Journal of Roentgenology·R H Daffner
Oct 5, 2001·The Journal of Trauma·C A BarbaN Epstein
Oct 26, 2001·JAMA : the Journal of the American Medical Association·I G StiellJ Worthington
Jul 28, 2004·Emergency Radiology·Richard H Daffner

❮ Previous
Next ❯

Citations

Dec 3, 2009·Skeletal Radiology·Paula J Richards, Jennifer George
Mar 5, 2011·Spine·Casey H HalpernSherman C Stein
Feb 4, 2011·Spine·Satyen MehtaRichard Williams
Jun 12, 2008·The Journal of Trauma·John B KortbeekRobert Winter
Mar 30, 2013·Neurosurgery·Timothy C RykenNicholas Theodore
Jan 23, 2010·AJR. American Journal of Roentgenology·Cicero Torres SilvaManohar Shroff
Nov 5, 2008·Neurosurgical Focus·Andrew H MilbySherman C Stein
Jan 5, 2008·Journal of Neurosurgery. Spine·Daniel M SciubbaAllan J Belzberg
Oct 16, 2009·Cases Journal·Ioannis D GelalisTheodoros A Xenakis
Jun 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J-P ShiauC-C Liao
Apr 24, 2012·Journal of the Mechanical Behavior of Biomedical Materials·Jennifer A DeWit, Duane S Cronin
Jan 29, 2011·The Journal of Emergency Medicine·Alexander DingRobert A Novelline
Oct 31, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·J R DusseldorpR J Mobbs
Jun 20, 2009·Seminars in Ultrasound, CT, and MR·Aldo Gonzalez-Beicos, Diego B Nunez
Sep 12, 2008·The Journal of Emergency Medicine·Jason GreenbaumPhillip D Levy
Oct 30, 2007·Journal of the American College of Radiology : JACR·Richard H Daffner, David B Hackney
Sep 15, 2012·Asian Spine Journal·Yoshihisa SugimotoTetsuro Mazaki
Nov 13, 2008·AJNR. American Journal of Neuroradiology·C A RojasC R Martinez
May 28, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Guen Young LeeJung Hwan Baek

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.