Is focused magnetic resonance imaging adequate for treatment decision making in acute traumatic thoracic and lumbar spine fractures seen on whole spine computed tomography?

The Spine Journal : Official Journal of the North American Spine Society
Bharti KhuranaChristopher M Bono

Abstract

To assess whether a focused magnetic resonance imaging (MRI) limited to the region of known acute traumatic thoracic or lumbar fracture(s) would miss any clinically significant injuries that would change patient management. A multicenter retrospective clinical study. Adult patients with acute traumatic thoracic and/or lumbar spine fracture(s). Pathology identified on MRI (ligamentous disruption, epidural hematoma, and cord contusion), outside of the focused zone, an alteration in patient management, including surgical and nonsurgical, as a result of the identified pathology outside the focused zone. Records were reviewed for all adult trauma patients who presented to the emergency department between 2008 and 2016 with one or more fracture(s) of the thoracic and/or lumbar spine identified on computed tomography (CT) and who underwent MRI of the entire thoracic and lumbar spine within 10 days. Exclusion criteria were patients with >4 fractured levels, pathologic fractures, isolated transverse, and/or spinous process fractures, prior vertebral augmentation, and prior thoracic or lumbar spine instrumentation. Patients with neurologic deficits or cervical spine fractures were also included. MRIs were reviewed independently by one sp...Continue Reading

Citations

Jan 30, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nicolas H von der HöhChristoph-Eckhard Heyde
Apr 24, 2021·Global Spine Journal·Lucas R PhilippJames S Harrop
Jul 15, 2021·JBJS Reviews·Brandon NudelmanDimitriy Kondrashov

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