Is there need for thoracic spine radiographs following a negative chest CT in trauma patients?

被引：0

作者：

Calendine C.L. ^{[1
,2
]}

Fajman W.A. ^{[1
]}

Hanna S.L. ^{[1
]}

Tigges S. ^{[1
]}

机构：

[1] Department of Radiology, Emory Univ. Affiliated Hospitals, Emory University School of Medicine, Atlanta, GA

[2] Department of Radiology, Emory University Hospitals, Atlanta, GA 30322, 1364 Clifton Road

来源：

Emergency Radiology | 2002年 / 9卷 / 5期

关键词：

Computed tomography; Injuries; Radiography; Spine; Thoracic vertebra;

D O I：

10.1007/s10140-002-0228-5

中图分类号：

学科分类号：

摘要：

The purpose of this study was to assess the need for conventional radiographs of the thoracic spine for routine clearance of trauma patients in whom chest CT has revealed no spinal trauma. The study was in the form of a retrospective review of trauma patients over the previous five years who underwent conventional radiographs of the thoracic spine following a chest CT that revealed no spinal trauma. Two hundred thirty-five trauma patients were found to have undergone conventional thoracic spine series following a chest CT that showed no spinal trauma. In 234 of the cases, the thoracic spine series was also negative. In one case, the thoracic spine series revealed mild anterior compression of the T7 vertebral body. This injury was stable and required no specific intervention. CT of the chest is an adequate evaluation of the thoracic spine in trauma patients who require routine thoracic spine clearance, making subsequent conventional radiographs of the thoracic spine unnecessary.

引用

页码：254 / 256

页数：2

共 28 条

[1]

McCort J.J., Caring for the major trauma victim: The role for radiology, Radiology, 163, pp. 1-9, (1987)

[2]

Fishman E.K., Spiral CT: Applications in the emergency patient, Radiographics, 16, pp. 943-948, (1996)

[3]

Pretorius E.S., Fishman E.K., Spiral CT and three-dimensional CT of musculoskeletal pathology: Emergency room applications, Radiol Clin North Am, 37, pp. 953-974, (1999)

[4]

Dee P.M., The radiology of chest trauma, Radiol Clin North Am, 30, pp. 291-306, (1992)

[5]

Gundry S.R., Burney R.E., Mackenzie J.R., Et al., Assessment of mediastinal widening associated with traumatic rupture of the aorta, J Trauma, 23, pp. 293-298, (1983)

[6]

Dennis L.N., Rogers L.F., Superior mediastinal widening from spine fractures mimicking aortic rupture on chest radiographs, AJR Am J Roentgenol, 152, pp. 27-30, (1989)

[7]

Lawrason J.N., Novelline R.A., Rhea J.T., Et al., Early detection of thoracic spine fracture in the multiple trauma patient: Role of the initial portable chest radiograph, Emerg Radiol, 4, pp. 309-318, (1997)

[8]

Rhea J.T., Sheridan F.L., Mullins M.E., Novelline R.A., Can chest and abdominal trauma CT eliminate the need for plain films of the spine? Experience with 329 multiple trauma patients, Emerg Radiol, 8, pp. 99-104, (2001)

[9]

Calenoff L., Chesare J.W., Rogers L.F., Et al., Multiple level spinal injuries: Importance of early recognition, AJR, 130, pp. 665-669, (1978)

[10]

Daffner R.H., Imaging of Vertebral Trauma, (1988)

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