Occipitocervical dissociative injuries: common in blunt trauma fatalities and better detected with objective computed tomography-based measurements

The Spine Journal : Official Journal of the North American Spine Society
Niv DreiangelJohn A Hipp

Abstract

Occipitocervical injuries (OCIs) are generally not common in blunt trauma victims, but autopsy studies of blunt trauma fatalities consistently report a high prevalence of these injuries. New computed tomography (CT)-based quantitative criteria have recently been developed for use in assessing the occipitocervical spine. The efficacy of these new criteria for detecting OCI would be supported if the high prevalence of OCI in blunt trauma fatalities can also be detected using these objective CT-based criteria. To test the hypothesis that the prevalence of OCI in blunt trauma fatalities, determined using objective CT-based measurements and reliable reference data, will be similar to the prevalence reported in prior autopsy studies. Retrospective assessment of the CT examinations of blunt trauma fatalities at a Level 1 trauma center. Seventy-four consecutive patients who died within 21 days of blunt trauma and had a CT examination of the cervical spine. Quantitative measurements from CT examinations of the occiput-C1 and C1-C2 levels. Measurements were made on a Picture Archiving and Communication System (PACS) from the CT images that were originally used for diagnosis and also using imaging software that allowed for precisely reori...Continue Reading

References

Jan 1, 1988·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·J DvorakB Rahn
Feb 1, 1993·Journal of Spinal Disorders·M B HarrisP M Bernini
Sep 11, 2002·Spine·Lars UhrenholtJan Hartvigsen
Jul 17, 2008·Spine·Peleg J Ben-GalimCharles A Reitman
Mar 9, 2010·The Spine Journal : Official Journal of the North American Spine Society·Kristen E RadcliffJohn A Hipp

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Citations

Nov 26, 2010·The Spine Journal : Official Journal of the North American Spine Society·Ran LadorJohn A Hipp
Feb 20, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·James F MorrisseyKarl A Sporer

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