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Cervical spine clearance when unable to be cleared clinically: a pooled analysis of combined computed tomography and magnetic resonance imaging.
Plackett, Timothy P; Wright, Franklin; Baldea, Anthony J; Mosier, Michael J; Thomas, Casey; Luchette, Fred A; Ton-That, Hieu H; Esposito, Thomas J.
Afiliación
  • Plackett TP; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA. Electronic address: tplacke78@gmail.com.
  • Wright F; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Baldea AJ; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Mosier MJ; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Thomas C; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Luchette FA; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Ton-That HH; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
  • Esposito TJ; Division of Trauma, Surgical Critical Care, & Burns, Department of Surgery, Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153, USA.
Am J Surg ; 211(1): 115-21, 2016 Jan.
Article en En | MEDLINE | ID: mdl-25997715
BACKGROUND: The role of cervical spine magnetic resonance imaging (MRI) in the evaluation of clinically unevaluable blunt trauma patients has been called into question by several recent studies. METHODS: A PubMed search was performed for all studies comparing computed tomography and MRI in the assessment of the cervical spine in patients who cannot be evaluated clinically. The radiologic findings and clinical outcomes from each study were collated for analysis. RESULTS: Data for 1,714 patients were available. All patients had a negative computed tomography scan and then underwent an MRI. There were 271 (15.8%) patients who had a previously undocumented finding on MRI with the majority (98.2%) being a ligamentous injury. Only 5 injuries (1.8%) resulted in surgical intervention. CONCLUSIONS: MRI identifies additional injuries; however, the vast majority are of minor clinical significance. Routine MRI after a negative computed tomography of the cervical spine is not supported by the current literature.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Imagen por Resonancia Magnética / Tomografía Computarizada por Rayos X / Vértebras Cervicales / Traumatismos del Cuello Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Am J Surg Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Imagen por Resonancia Magnética / Tomografía Computarizada por Rayos X / Vértebras Cervicales / Traumatismos del Cuello Tipo de estudio: Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Am J Surg Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos