Impact of Cervical Spine Management Brain Injury on Functional Survival Outcomes in Comatose, Blunt Trauma Patients with Extremity Movement and Negative Cervical Spine CT: Application of the Monte Carlo Simulation

2011 ◽  
Vol 28 (6) ◽  
pp. 1009-1019 ◽  
Author(s):  
C. Michael Dunham ◽  
Kimbroe J. Carter ◽  
Frank Castro ◽  
Barbara Erickson
Keyword(s):  
Monte Carlo Simulation ◽  
Monte Carlo ◽  
Cervical Spine ◽  
Brain Injury ◽  
Blunt Trauma ◽  
Survival Outcomes ◽  
Trauma Patients ◽  
Spine Ct

scholarly journals A systematic review of the need for MRI for the clearance of cervical spine injury in obtunded blunt trauma patients after normal cervical spine CT

2014 ◽  
Vol 7 (4) ◽  
pp. 251 ◽  
Author(s):  
DavidC Evans ◽  
Ahmad Moukalled ◽  
Elizabeth Yu ◽  
DavidB Tulman ◽  
StanislawPA Stawicki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Blunt Trauma ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Trauma Patients ◽  
Spine Ct

Acute Traumatic Cervical Facet Fractures

2018 ◽  
Vol 1 (2) ◽  
pp. 5
Author(s):  
Shankar Gopinat
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Early Surgery ◽  
Initial Assessment ◽  
Trauma Patients ◽  
Spinal Stability ◽  
Fracture Patterns ◽  
Spine Ct ◽  
Cervical Facet

Acute cervical facet fractures are increasingly being detected due to the use of cervical spine CT imaging in the initial assessment of trauma patients. For displaced cervical facet fractures with dislocations and subluxations, early surgery can decompress the spinal cord and stabilize the spine. For patients with non-displaced cervical facet fractures, the challenge in managing these patients is the determination of spinal stability. Although many of the patients with non-displaced cervical facet fractures can be managed with a cervical collar, the imaging needs to be analyzed carefully since certain fracture patterns may be better managed with early surgical stabilization.

40-Slice Multidetector CT: Is MRI Still Necessary for Cervical Spine Clearance after Blunt Trauma?

2010 ◽  
Vol 76 (2) ◽  
pp. 157-163 ◽  
Author(s):  
Jay Menaker ◽  
Deborah M. Stein ◽  
Allan S. Philp ◽  
Thomas M. Scalea
Keyword(s):  
Cervical Spine ◽  
Blunt Trauma ◽  
Trauma Registry ◽  
Clinical Symptoms ◽  
Multidetector Ct ◽  
Trauma Patients ◽  
Mri Findings ◽  
Persistent Symptoms ◽  
Operative Repair ◽  
Ct Technology

We have recently demonstrated that 16-slice multidetector CT (MDCT) is insufficient for cervical spine (CS) clearance in patients with unreliable examinations after blunt trauma. The purpose of this study was to determine if a negative CS CT using 40-slice MDCT is sufficient for ruling out CS injury in unreliable blunt trauma patients or if MRI remains necessary for definitive clearance. In addition, we sought to elucidate the frequency by which MRI alters treatment in patients with a negative CS CT who have a reliable examination with persistent clinical symptoms. The trauma registry was used to identify all patients with blunt trauma who had a negative CS CT on admission using 40-slice MDCT and a subsequent CS MRI during their hospitalization from July 2006 to July 2007. Two hundred thirteen patients were identified. Overall, 24.4 per cent patients had abnormal MRIs. Fifteen required operative repair; 23 required extended cervical collar; and 14 had collars removed. A total of 8.3 per cent of patients with an unreliable examination and 25.6 per cent of reliable patients had management changed based on MRI findings. Overall, MRI changed clinical practice in 17.8 per cent of all patients. Despite newer 40-slice CT technology, MRI continues to be necessary for CS clearance in patients with unreliable examinations or persistent symptoms.

Assessing Cervical Spine Stability in Obtunded Blunt Trauma Patients: Review of Medical Literature

Radiology ◽  
2005 ◽  
Vol 234 (3) ◽  
pp. 733-739 ◽  
Author(s):  
Clint W. Sliker ◽  
Stuart E. Mirvis ◽  
Kathirkamanathan Shanmuganathan
Keyword(s):  
Cervical Spine ◽  
Blunt Trauma ◽  
Medical Literature ◽  
Trauma Patients ◽  
Spine Stability

CT for all or selective approach? Who really needs a cervical spine CT after blunt trauma

2013 ◽  
Vol 74 (4) ◽  
pp. 1098-1101 ◽  
Author(s):  
Therèse M. Duane ◽  
Andrew Young ◽  
Julie Mayglothling ◽  
Sean P. Wilson ◽  
William F. Weber ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Blunt Trauma ◽  
Selective Approach ◽  
Spine Ct

scholarly journals Impact of MRI on changing management of the cervical spine in blunt trauma patients with a ‘negative’ CT scan

2016 ◽  
Vol 1 (1) ◽  
pp. e000016 ◽  
Author(s):  
Mohamed A Mohamed ◽  
Karl D Majeske ◽  
Gul Sachwani-Daswani ◽  
Daniel Coffey ◽  
Karim M Elghawy ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Ct Scan ◽  
Blunt Trauma ◽  
Trauma Patients
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