Computed tomographic scanning reduces cost and time of complete spine evaluation

被引:39
作者
Brandt, MM
Wahl, WL
Yeom, K
Kazerooni, E
Wang, SC
机构
[1] Univ Michigan Hlth Syst, Div Trauma Burns & Emergency Surg, Ann Arbor, MI 48109 USA
[2] Univ Michigan Hlth Syst, Div Thorac Surg, Ann Arbor, MI 48109 USA
[3] Univ Calif Los Angeles, Sch Med, Dept Radiol Sci, Los Angeles, CA 90024 USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2004年 / 56卷 / 05期
关键词
D O I
10.1097/01.TA.0000124304.68584.2C
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: We hypothesize that data collected from computed tomographic (CT) scans obtained for workup of chest or abdominal injuries provide data that are sufficient to screen for spinal fractures and will decrease the cost and time of spine evaluation after trauma. Methods: We reviewed plain radiographs from 55 selected trauma patients who also underwent CT scanning of the chest, abdomen, and pelvis. We also timed the radiologic workup of 50 consecutive trauma patients to determine the time required to complete radiographic spine evaluation. Results: Forty-seven patients had thoracolumbar fractures. Thirteen patients were found to have 33 thoracolumbar spine fractures identified by CT scan but not plain radiography. Fractures were found on initial trauma CT scans of the chest, abdomen, and pelvis obtained to evaluate for visceral injuries. No injuries seen on plain film were missed on CT scan. Conclusion: We recommend using the data acquired from CT scans to evaluate the spine, supplementing them with additional studies only when needed for further clarification.
引用
收藏
页码:1022 / 1026
页数:5
相关论文
共 7 条
[1]   Missed injuries in patients with multiple trauma [J].
Buduhan, G ;
McRitchie, DI .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 49 (04) :600-605
[2]   The effect of polytrauma in persons with traumatic spine injury - A prospective database of spine fractures [J].
Hebert, JS ;
Burnham, RS .
SPINE, 2000, 25 (01) :55-60
[3]  
MARION D, 2000, UPDATE 1997 EAST CER
[4]   Helical CT in emergency radiology [J].
Novelline, RA ;
Rhea, JT ;
Rao, PM ;
Stuk, JL .
RADIOLOGY, 1999, 213 (02) :321-339
[5]   Practice management guidelines for trauma from the Eastern Association for the Surgery of Trauma [J].
Pasquale, M ;
Fabian, TC .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998, 44 (06) :941-956
[6]   Lumbar fractures in adult blunt trauma: Axial and single-slice helical abdominal and pelvic computed tomographic scans versus portable plain films [J].
Rhee, PM ;
Bridgeman, A ;
Acosta, JA ;
Kennedy, S ;
Wang, DSY ;
Sarveswaran, J .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002, 53 (04) :663-667
[7]   Reformatted visceral protocol helical computed tornographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients [J].
Sheridan, R ;
Peralta, R ;
Rhea, J ;
Ptak, T ;
Novelline, R .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 55 (04) :665-669