Cervical spine injury: clinical and medico-legal overview.
Canadian C-spine rule
Cervical spine imaging
Cervical spine injury
NEXUS criteria
Post-mortem imaging
Journal
La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
08
03
2022
accepted:
07
12
2022
pubmed:
1
2
2023
medline:
18
2
2023
entrez:
31
1
2023
Statut:
ppublish
Résumé
Spinal trauma is an important cause of disability worldwide. Injury to the cervical spine (CS) occurs frequently after major trauma. 5-10% of patients with blunt trauma have a cervical spine injury. The cervical spine accounts for ~ 50% of all spinal injuries. Determination of CS stability is a common challenge in the acute care setting of patients with trauma. Several issues, indeed, are of particular concern: who needs CS imaging; what imaging should be obtained; when should computed tomography (CT), magnetic resonance imaging (MRI), or flexion/extension (F/E) radiographs be obtained; and how is significant ligamentous injury excluded in the comatose patient. CT and MRI both have roles to play. This article aims to present the different imaging to frame techniques to be used with greater precision in the acute event also for the purpose of planning the next therapeutic process. An overview of the applicability of the same methods in forensic pathology is also provided highlighting possible future biomarker to ease in diagnosis of acute TBI.
Identifiants
pubmed: 36719553
doi: 10.1007/s11547-022-01578-2
pii: 10.1007/s11547-022-01578-2
pmc: PMC9931800
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
103-112Informations de copyright
© 2023. The Author(s).
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