Imaging of cervical spine traumas

被引:18
作者
Izzo, Roberto [1 ]
Popolizi, Teresa [1 ]
Balzano, Rosario Francesco [2 ]
Pennelli, Anna Maria [1 ]
Simeone, Anna [1 ]
Muto, Mario [3 ]
机构
[1] Fdn IRCCS Casa Sollievo Sofferenza, Dept Radiol, Foggia, Italy
[2] Univ Sch Med, Dept Clin & Expt Med, Foggia, Italy
[3] AORN Cardarelli, Dept Neuroradiol, Naples, Italy
关键词
Cervical spine; Trauma; CT; MRI; 5-VIEW PLAIN FILMS; COMPUTED-TOMOGRAPHY; BLUNT TRAUMA; MULTIDETECTOR CT; CORD-INJURY; CLASSIFICATION-SYSTEM; CLINICAL EXAMINATION; OBTUNDED PATIENTS; BLACK-BLOOD; CLEARANCE;
D O I
10.1016/j.ejrad.2019.05.007
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
Spinal traumas represent a significant proportion of muscle-skeletal injuries worldwide. Spinal injuries involve a complex structure with components having different traumatic susceptibility and variable healing capabilities. The interaction of numerous variables at time of trauma creates a great variety of lesions which makes challenging the creation and comparison of homogeneous groups, with difficulties in classifying spinal lesions, in assessing their instability, and in defining the indication and outcome of different treatment strategies. The evolution of concepts on instability has accompanied that of traumas classification schemes and treatment strategies. The assessment of instability in a spinal injury is actually crucial in front of newer surgical techniques and hardwares. Despite a long history of attempts to classify spinal traumas, it remains some degree of controversy in describing imaging data and a wide variety of treatment strategies. Acute cervical spine injuries affect from 1.9% to 4.6% of subjects reporting a blunt trauma, and up to 5.9% of multiple-injured patients. Most of spinal cord injuries are a consequence of unstable fractures of the cervical spine. An accurate and early diagnosis is mandatory to prevent neurological damage in unstable fractures. Classic and newer classifications are primarily based on features identifiable by using conventional imaging and CT scan, which are the most available modalities at most trauma centers. Even though multidetector-CT remains superior in assessing with high accuracy bone injuries, MRI is the most sensitive modality for detecting soft tissues injuries and spinal cord damage.
引用
收藏
页码:75 / 88
页数:14
相关论文
共 81 条
[1]   Intramedullary Lesion Length on Postoperative Magnetic Resonance Imaging is a Strong Predictor of ASIA Impairment Scale Grade Conversion Following Decompressive Surgery in Cervical Spinal Cord Injury [J].
Aarabi, Bizhan ;
Sansur, Charles A. ;
Ibrahimi, David M. ;
Simard, J. Marc ;
Hersh, David S. ;
Le, Elizabeth ;
Diaz, Cara ;
Massetti, Jennifer ;
Akhtar-Danesh, Noori .
NEUROSURGERY, 2017, 80 (04) :610-620
[2]   Evaluation of the Intervertebral Disk Angle for the Assessment of Anterior Cervical Diskoligamentous Injury [J].
Alhilali, L. M. ;
Fakhran, S. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2013, 34 (12) :2399-2404
[3]   A MECHANISTIC CLASSIFICATION OF CLOSED, INDIRECT FRACTURES AND DISLOCATIONS OF THE LOWER CERVICAL-SPINE [J].
ALLEN, BL ;
FERGUSON, RL ;
LEHMANN, TR ;
OBRIEN, RP .
SPINE, 1982, 7 (01) :1-27
[4]   Screening Multidetector Computed Tomography Angiography in the Evaluation on Blunt Neck Injuries: An Evidence-Based Approach [J].
Anaya, Carlos ;
Munera, Felipe ;
Bloomer, Courtnay W. ;
Danton, Gary H. ;
Caban, Kim .
SEMINARS IN ULTRASOUND CT AND MRI, 2009, 30 (03) :205-214
[5]   Clearance of the Asymptomatic Cervical Spine: A Meta-analysis [J].
Anderson, Paul A. ;
Muchow, Ryan D. ;
Munoz, Alejandro ;
Tontz, William L. ;
Resnick, Daniel K. .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2010, 24 (02) :100-106
[6]  
Andreoli Chiara, 2005, Radiol Med, V110, P636
[7]  
[Anonymous], 1994, Emerg Radiol, DOI DOI 10.1007/BF02614949
[8]   Spiral computed tomography for the initial evaluation of spine trauma: A new standard of care? [J].
Antevil, Jared L. ;
Sise, Michael J. ;
Sack, Daniel I. ;
Kidder, Brendan ;
Hopper, Andrew ;
Brown, Carlos V. R. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 61 (02) :382-387
[9]   Blunt carotid arterial injuries: Implications of a new grading scale [J].
Biffl, WL ;
Moore, EE ;
Offner, PJ ;
Brega, KE ;
Franciose, RJ ;
Burch, JM .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1999, 47 (05) :845-853
[10]   Cervical spine imaging in patients with trauma: Determination of fracture risk to optimize use [J].
Blackmore, CC ;
Emerson, SS ;
Mann, FA ;
Koepsell, TD .
RADIOLOGY, 1999, 211 (03) :759-765