Can cervical spine injury be correctly diagnosed by postmortem computed tomography?

Iwase, Hirotaro; Yamamoto, Seiji; Yajima, Daisuke; Hayakawa, Motozo; Kobayashi, Kazuhiro; Otsuka, Katsura; Sato, Kaoru; Motani, Hisako; Kasahara, Shiori; Ito, Hisao

doi:10.1016/j.legalmed.2009.02.032

Cited by 25 publications

(19 citation statements)

References 11 publications

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“…The radiological results show a good diagnostic agreement with autopsy in regard to intracranial hemorrhages. Subarachnoid hemorrhages (SAH) and subdural [19] Occipital condyle fracture (n = 4) CT: 4 1 4.00 Daly, 2013 [19] Atlanto-occipital fracture/dislocation (n = 14) CT: 10 9 1.11 Daly, 2013 [19] C6 fracture (n = 1) CT: 1 0 >1 Daly, 2013 [19] C7 fracture (n = 1) CT: 1 0 >1 Leth, 2013 [18] C1 or C2 fracture or dislocation (n = 11) CT: 11 9 1.22 Uhrenholt, 2010 [33] C1 fracture (n = 5) CT: 4 3 1.33 Uhrenholt, 2010 [33] C2 fracture (n = 9) CT: 9 9 1.00 Levy, 2009 [31] Cervical spine fracture + dislocation (n = 1) CT: 1 1 1.00 Iwase, 2009 [34] C5 fracture CT: 1 0 >1 Sochor, 2008 [3] C2 odontoid fracture (n = 1) CT: 1 0 >1 Sochor, 2008 [3] C6 fracture (n = 1) CT: 1 0 >1…”

Section: Fracturesmentioning

confidence: 99%

“…67 Levy, 2009[31] Cervical spine fracture + dislocation (n = 1) CT: 1 1 1.00 C-spine, other Daly, 2013 [19] C1/C2 cord injury (n = 2) CT: 1 2 0.50 Daly, 2013 [19] Atlanto-axial distraction (n = 1) CT: 1 0 >1 Leth, 2010 [20] Cervical column injury CT: 11 13 0.85 Iwase, 2009 [34] Intervertebral disc laceration CT: 0 5 0 Sochor, 2008 [3] Cervical cord laceration (n = 3) CT: 0 3 0…”

Section: Fracturesmentioning

confidence: 99%

“…Thoracic spine fractures MRI: sens 75% spec 97% Daly, 2013 [19] T3 fracture (n = 1) CT: 1 1 1.00 Levy, 2009 [31] Thoracic spine fracture + dislocation (n = 6) CT: 6 6 1.00 Iwase, 2009 [34] T1 fracture (n = 1) CT: 0 1 0 Sochor, 2008 [3] Thoracic spine fracture + cord injury (n = 2) CT: 2 2 1.00 Aghayev, 2008 [29] Thoracic spine fractures (n = 13) CT+ MRI: rad1: 13 (sens 100% spec 73%) rad2: 13 (sens 100% spec 73%) 9 1.44 L-spine injuries Ross, 2012 [23] Lumbar spine fractures MRI: sens 100% spec 97% Daly, 2013 [19] Lumbar fractures (n = 3) CT: 3 1 3.00 Leth, 2010 [20] Lumbar column injury CT: 3 2 1.50 Levy, 2009 [31] Complex lumbar spine fractures (n = 4) CT: 4 4 1.00 Christe, 2009 [25] Abdominal spine fracture (n = 13) CT: sens 100% spec 78% MRI: sens 83% spec 82% CT + MRI: sens 100% spec75% = CT + MRI: 13, AU: 7 7 1.86…”

Section: T-spine Injuries Ross 2012 [23]mentioning

confidence: 99%

“…Five PMCT studies found additional cervical spine fractures that were missed at autopsy. This involved fractures through the entire C-spine, ranging from atlanto-occipital, C1 and C2 to C5, C6 and C7 fractures [3,18,19,33,34]. Three PMCT studies investigated cervical spine dislocations and found (in contrast to C-spine fractures) that PMCT missed some dislocations.…”

Section: Spinementioning

confidence: 99%

“…Six studies investigated these injuries with PMCT and only one T1-fracture was missed with PMCT by Iwase et al [34]. The other five studies found an equal number of thoracic spine fractures and dislocations with PMCT and autopsy (total 35 injuries).…”

Section: Thoracic Spinementioning

confidence: 99%

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