[Acute diagnosis of spinal trauma]. / Akutdiagnostik des Wirbelsäulentraumas.
Radiologe
; 46(6): 527-41; quiz 542-3, 2006 Jun.
Article
en De
| MEDLINE
| ID: mdl-16607557
Most traumatic spinal injuries result from a high-energy process and are accompanied by other injuries. Following the CCSPR study, the presence of all low-risk factors (simple trauma mechanism, fully conscious, ambulatory at any time since trauma, neck rotation exceeding 45 degrees bilaterally) obviates the need to acutely image the cervical spine. Imaging is indicated in all other patients. Emergency spiral CT should be performed as the first imaging method in high-risk and moderate-risk patients; only in low-risk patients should conventional radiography be performed and trusted as the sole modality. The AO classification according to Magerl et al. is used for the subaxial spine, whereas the upper cervical spine should be classified separately because the anatomy is different at each level. Radiological evaluation of traumatic spinal injuries should be done systematically using the "ABCS" scheme.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
/
Tomografía Computarizada por Rayos X
/
Medición de Riesgo
/
Cuidados Críticos
/
Servicios Médicos de Urgencia
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Radiologe
Año:
2006
Tipo del documento:
Article
Pais de publicación:
Alemania