Clinical review: spinal imaging for the adult obtunded blunt trauma patient: update from 2004

Plumb, James O. M.; Morris, C.

doi:10.1007/s00134-012-2485-4

Cited by 18 publications

(10 citation statements)

References 84 publications

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“…MRI is requested to differentiate soft tissue and vertebral column injuries. At the time of doing MRI, patients who have been immobilized for a long period of time might have some problems especially those with a low level of consciousness (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). In our study in 74 patients (28%), MRI results were positive.…”

Section: Discussionmentioning

confidence: 47%

“…In some studies, indications of MRI after normal CT report have been investigated and evaluated. According to these studies, there is no definitive evidence about the indication of MRI in patients with normal CT scan reports but positive symptom findings (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). In the current study, we investigated the possible MRI findings in patients with cervical trauma having a normal level of consciousness and normal CT reports.…”

Section: Introductionmentioning

confidence: 90%

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MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports

Amırı

Chardoli

Sarvari

et al. 2019

J Emerg Pract Trauma

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Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and normal CT reports. These patients have tenderness or an uncomfortable feeling in the traumatized area as well. Methods: In this cross-sectional anterograde study, cases were selected among patients referred to the emergency department of Hafte Tir, Iran University of Medical Sciences from 2012 to 2014. Inclusion criteria to select cases were: age above 15, blunt neck trauma, GCS=15, normal CT scan reports of neck, no past medical history of cervical vertebral surgery, and no persistent neurologic lesions. In order to analyse qualitative data, chisquare test was used and for quantitative data t test was applied accordingly. Results: Two hundred eighty patients with chief complaints of neck pain due to trauma entered our study. Among this batch, 264 of them had normal CT scan reports and MRI was done for all of them. According to the results, the maximum injury in MRI was related to intervertebral disc injury (38 cases), ligamentous edema (35 cases), and muscle edema (22 cases), respectively. Neck tenderness from the beginning of the accident and transient neurologic signs had a significant role in MRI results (P < 0.05). Conclusion: In patients with acute cervical trauma having normal CT reports, MRI must be done in those with the average age of 45 or more, tenderness in the neck area, and in those with neurologic transient symptoms.

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Section: Discussionmentioning

confidence: 47%

Section: Introductionmentioning

confidence: 90%

MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports

Amırı

Chardoli

Sarvari

et al. 2019

J Emerg Pract Trauma

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show abstract

“…Há controvérsias quanto ao conceito de avaliação radiográfica mínima principalmente nos pacientes com traumatismo múltiplo 17 , em especial naqueles com alteração do nível de consciência. O estudo radiográfico simples apresenta baixa sensibilidade (52%) e alta especificidade (98%), desta forma, o uso do RX deve ser substituído pelo TC com multidetector (Figura 1) 26 .…”

Section: Radiografia Simples (Rx)unclassified

“…Alguns estudos 9,26 indicam como modalidade primaria inicial da triagem a TC com corte axial fino e reconstrução de sagital e coronal é mais precisa que a radiografia simples.…”

Section: Tomografia Computadorizadaunclassified

Diagnóstico por imagem em paciente com traumatismo da coluna vertebral

Morais¹,

Neto²,

Spotti³

et al. 2018

jbnc

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O traumatismo raquimedular (TRM) pode ser definido como qualquer agressão que acarrete lesão anatômica ou funcional dos elementos neurais (medula espinhal, raízes nervosas), dentro do canal vertebral com ou sem fraturas e / ou deslocamento da coluna vertebral, resultando em mudança, seja ela permanente ou temporária, na sua função motora, sensitiva e autonômica. Odiagnóstico das lesões traumáticas de coluna vertebral é o evento inicial e fundamental para o sucesso terapêutico. Dentre as mais utilizadas estão a radiografia simples, a tomografia computadorizada (TC) e a ressonância magnética (RM). A abordagem inicial do paciente com suspeita de traumatismo de coluna vertebral deve ser feita através do estudo com radiografia simples, que consiste em método disponível e rápido. A TC é capaz de diagnosticar fraturas ocultas à radiografia simples, fornecendoinformações adicionais para avaliação mais detalhada da fratura e elaboração do seu tratamento e definindo melhor os contornos ósseos. Já a RM pode visualizar com mais vantagem o canal espinhal e o grau e a extensão de tecidos moles, como nas lesões medulares, vasculares, discos e os hematomas epidurais. Assim, a escolha do exame no momento da avaliação inicial do paciente irá influenciar em melhor prognóstico devendo ser realizada com autonomia e segurança.

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“…To clear the spine in this clinical scenario largely centres on imaging, possibly supported by clinical evaluation if and when patients become evaluable. The review by Plumb and Morris [85] provides a clinically relevant update of the available evidence since 2004. Plain radiography has low sensitivity for detecting unstable spinal injuries in OBTPs, whereas multidetector-row computerised tomography (MDCT) approaches 100 % sensitivity.…”

Section: Miscellaneamentioning

confidence: 99%

Year in review in Intensive Care Medicine 2012: III. Noninvasive ventilation, monitoring and patient–ventilator interactions, acute respiratory distress syndrome, sedation, paediatrics and miscellanea

et al. 2013

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Clinical review: spinal imaging for the adult obtunded blunt trauma patient: update from 2004

Cited by 18 publications

References 84 publications

MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports

MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports

Diagnóstico por imagem em paciente com traumatismo da coluna vertebral

Year in review in Intensive Care Medicine 2012: III. Noninvasive ventilation, monitoring and patient–ventilator interactions, acute respiratory distress syndrome, sedation, paediatrics and miscellanea

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