Cervical spine trauma

被引:0
作者
Velez, S. Ossaba [1 ]
Canalejas, L. Sanz [1 ]
Guiote, J. Martinez-Checa [1 ]
Tascon, A. Diez [1 ]
de Gracia, M. Marti [1 ]
机构
[1] Hosp Univ La Paz, Serv Radiodiagnost, Secc Radiol Urgencias, Madrid, Spain
来源
RADIOLOGIA | 2023年 / 65卷
关键词
Spinal fractures; Spinal trauma; Vertebral trauma; Cervical spine; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; BLUNT CEREBROVASCULAR INJURY; CRANIOCERVICAL JUNCTION; MULTIDETECTOR CT; CLASSIFICATION; FRACTURES; ACCURACY; SPECTRUM; ADULT;
D O I
10.1016/j.rx.2022.10.010
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Cervical spine trauma encompasses a wide of injuries, ranging from stable, minor lesions to unstable, complex lesions that can lead to neurologic sequelae or vascular involvement. The Canadian C-Spine Rule and the NEXUS criteria aim to identify individuals with a low risk of cervical spine trauma who can safely forgo imaging tests. In high-risk patients, an imaging test is indicated. In adult patients the imaging test of choice is multidetector computed tomography. Complementary imaging tests such as CT angiography of the supra-aortic vessels and/or magnetic resonance imaging are occasionally necessary. It can be challenging for radiologists to diagnose and classify these lesions, because some of them can be subtle and difficult to detect. This paper aims to describe the most important imaging findings and the most widely used classification systems. (c) 2022 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:S21 / S31
页数:11
相关论文
共 34 条
[1]   MORPHOLOGY AND TREATMENT OF OCCIPITAL CONDYLE FRACTURES [J].
ANDERSON, PA ;
MONTESANO, PX .
SPINE, 1988, 13 (07) :731-736
[2]   Sixteen-slice multi-detector computed tomographic angiography improves the accuracy of screening for blunt cerebrovascular injury [J].
Berne, John D. ;
Reuland, Kurt S. ;
Villarreal, David H. ;
McGovern, Thomas M. ;
Rowe, Stephen A. ;
Norwood, Scott H. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 60 (06) :1204-1209
[3]   Imaging of Spine Trauma [J].
Bernstein, Mark P. ;
Young, Matthew G. ;
Baxter, Alexander B. .
RADIOLOGIC CLINICS OF NORTH AMERICA, 2019, 57 (04) :767-+
[4]   Western Trauma Association Critical Decisions in Trauma: Screening for and Treatment of Blunt Cerebrovascular Injuries [J].
Biffl, Walter L. ;
Cothren, C. Clay ;
Moore, Ernest E. ;
Kozar, Rosemary ;
Cocanour, Christine ;
Davis, James W. ;
McIntyre, Robert C., Jr. ;
West, Michael A. ;
Moore, Frederick A. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2009, 67 (06) :1150-1153
[5]   Diagnostic Determinants of Craniocervical Distraction Injury in Adults [J].
Chang, Wilbur ;
Alexander, Melvin T. ;
Mirvis, Stuart E. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 192 (01) :52-58
[6]   The Natural History of Indeterminate Blunt Cerebrovascular Injury [J].
Crawford, Jeffrey D. ;
Allan, Kevin M. ;
Patel, Karishma U. ;
Hart, Kyle D. ;
Schreiber, Martin A. ;
Azarbal, Amir F. ;
Liem, Timothy K. ;
Mitchell, Erica L. ;
Moneta, Gregory L. ;
Landry, Gregory J. .
JAMA SURGERY, 2015, 150 (09) :841-847
[7]   Injuries involving the transverse atlantal ligament: Classification and treatment guidelines based upon experience with 39 injuries [J].
Dickman, CA ;
Greene, KA ;
Sonntag, VKH .
NEUROSURGERY, 1996, 38 (01) :44-50
[8]   Multidetector CT of Blunt Cervical Spine Trauma in Adults [J].
Dreizin, David ;
Letzing, Michael ;
Sliker, Clint W. ;
Chokshi, Falgun H. ;
Bodanapally, Uttam ;
Mirvis, Stuart E. ;
Quencer, Robert M. ;
Munera, Felipe .
RADIOGRAPHICS, 2014, 34 (07) :1842-1865
[9]  
Expert Panel on Neurological Imaging and Musculoskeletal Imaging:, 2019, J Am Coll Radiol, V16, pS264, DOI [10.1016/j.jacr.2019.02.002, 10.1016/j.jacr.2019.02.002]
[10]   FRACTURES OF ATLAS VERTEBRA [J].
GEHWEILER, JA ;
DUFF, DE ;
MARTINEZ, S ;
MILLER, MD ;
CLARK, WM .
SKELETAL RADIOLOGY, 1976, 1 (02) :97-102