scholarly journals Management Of Unstable Cervical Spine Injuries In Southern Iraq During OP TELIC

2005 ◽  
Vol 151 (3) ◽  
pp. 179-185 ◽  
Author(s):  
J. Bird ◽  
D. Luke ◽  
N. Ward ◽  
M. Stewart ◽  
P. Templeton
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine ◽  
Southern Iraq

Ulus Travma Acil Cerrahi Derg. Baskıdaki Makaleler: UTD-35813 | DOI: 10.14744/tjtes.2019.35813 Anstabil servikal yaralanmalarda Bilgisayarlı Tomografi ve Magnetik Rezonans Görüntüleme Bulgularının Karşılaştırılması Meltem Songur Kodik1, Cenk Eraslan2, Omer Kitis2, Yusuf Ali Altunci1, Huseyin Biceroglu3, Ali Akay4 1Ege Üniversitesi Tıp Fakültesi Hastanesi, Acil Tıp Anabilim Dalı, İzmir 2Ege Üniversitesi Tıp Fakültesi Hastanesi, Radyoloji Anabilim Dalı, İzmir 3Ege Üniversitesi Tıp Fakültesi Hastanesi, Beyin Cerrahisi Anabilim Dalı, İzmir 4Kent Hastanesi, Beyin Cerrahisi Bölümü, İzmir Amaç: Bu çalışmanın amacı atlanabilen anstabil servikal yaralanmaların belirlenmesinde bilgisayarlı tomografinin (BT) rolünü araştırmaktır. Yöntem: Bu çalışmada acil servise Haziran 2014 ile Haziran 2018 arasında künt servikal travma tanısı ile başvuran olgular yer almaktadır. Tüm olgular ilk önce yapılan bir BT tetkikini takiben servikal manyetik rezonans (MR) görüntülemesine tabi tutulmuşlardır. Tüm görüntüleme sonuçları gözden geçirilmiş ve kararlar acil tıp uzmanı, nöroradyolojist ve beyin cerrahından oluşan bir ekip tarafından fikir birliği ile alınmıştır. Diğer değişkenler arasında yaş, cinsiyet, Glasgow koma skalası, ek morbidite, çoklu travma, nörolojik defisitler, intrakraniyal hemoraji, ekstremite fraktürleri ve yaralanmanın mekanizması yer almaktadır. Bulgular: Çalışmaya alınan 195 hastanın bilgileri analiz edildiğinde; hastaların ortalama yaşı (±standart sapma) 47,34 ± 21,90 yıl olup 140’ ı erkek (%71,8) 18’ i (% 9,2) 18 yaşın altında idi. En sık görülen yaralanma mekanizması yüksekten düşme idi ( n=100; %51,3). Altın standart olarak MR kullanılmış olup, anstabil servikal travma tanısında BT’ nin duyarlılığı %77,7 (% 95 GA [67,1-86,1]) iken, özgüllüğü % 100,0 (%95 GA [59,0-100,0]) saptanmıştır. Sonuç: Her ne kadar bilgisayarlı tomografi anstabil servikal yaralanmaların tanısında rölatif olarak iyi olsa da duyarlılığı yeterli değildir. Bundan dolayı anstabil yaralanması olan olgularda MR çekilmesi daha uygundur. Anahtar Kelimeler: Servikal Vertebra, Boyun Yaralanmaları, Magnetik Rezonans Görüntüleme, Bilgisayarlı Tomografi, Sensivite ve Spesifite Computed Tomography vs. Magnetic Resonance Imaging in Unstable Cervical Spine Injuries

2019 ◽  
Author(s):  
Meltem Songur Kodik
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine

Unstable cervical spine injuries in rugby—a 20-year review

Injury ◽  
1987 ◽  
Vol 18 (5) ◽  
pp. 329-332 ◽  
Author(s):  
Priscilla Williams ◽  
B. McKibbin
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine

Comparative effectiveness of using computed tomography alone to exclude cervical spine injuries in obtunded or intubated patients: meta-analysis of 14,327 patients with blunt trauma

2011 ◽  
Vol 115 (3) ◽  
pp. 541-549 ◽  
Author(s):  
David M. Panczykowski ◽  
Nestor D. Tomycz ◽  
David O. Okonkwo
Keyword(s):  
Cervical Spine ◽  
Ct Scan ◽  
Blunt Trauma ◽  
Meta Analysis ◽  
Acute Injury ◽  
Trauma Patients ◽  
Study Quality ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine

Object The current standard of practice for clearance of the cervical spine in obtunded patients suffering blunt trauma is to use CT and an adjuvant imaging modality (such as MR imaging). The objective of this study was to determine the comparative effectiveness of multislice helical CT alone to diagnose acute unstable cervical spine injury following blunt trauma. Methods The authors performed a meta-analysis of studies comparing modern CT with adjunctive imaging modalities and required that studies present acute traumatic findings as well as treatment for unstable injuries. Study quality, population characteristics, diagnostic protocols, and outcome data were extracted. Positive disease status included all injuries necessitating surgical or orthotic stabilization identified on imaging and/or clinical follow-up. Results Seventeen studies encompassing 14,327 patients met the inclusion criteria. Overall, the sensitivity and specificity for modern CT were both > 99.9% (95% CI 0.99–1.00 and 0.99–1.00, respectively). The negative likelihood ratio of an unstable cervical injury after a CT scan negative for acute injury was < 0.001 (95% CI 0.00–0.01), while the negative predictive value of a normal CT scan was 100% (95% CI 0.96–1.00). Global severity of injury, CT slice thickness, and study quality did not significantly affect accuracy estimates. Conclusions Modern CT alone is sufficient to detect unstable cervical spine injuries in trauma patients. Adjuvant imaging is unnecessary when the CT scan is negative for acute injury. Results of this meta-analysis strongly show that the cervical collar may be removed from obtunded or intubated trauma patients if a modern CT scan is negative for acute injury.

Absence of clinical findings reliably excludes unstable cervical spine injuries in children 5 years or younger

2015 ◽  
Vol 78 (5) ◽  
pp. 943-948 ◽  
Author(s):  
Diane F. Hale ◽  
Colleen M. Fitzpatrick ◽  
John J. Doski ◽  
Ronald M. Stewart ◽  
Deborah L. Mueller
Keyword(s):  
Cervical Spine ◽  
Clinical Findings ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine

Helmet and Shoulder Pad Removal in Football Players with Unstable Cervical Spine Injuries

2009 ◽  
Vol 25 (2) ◽  
pp. 119-132 ◽  
Author(s):  
Michael C. Dahl ◽  
Dheera Ananthakrishnan ◽  
Gregg Nicandri ◽  
Jens R. Chapman ◽  
Randal P. Ching
Keyword(s):  
Cervical Spine ◽  
Team Sports ◽  
The United States ◽  
Football Players ◽  
Patient Handling ◽  
Lateral Direction ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Unstable Cervical Spine ◽  
The Right

Football, one of the country’s most popular team sports, is associated with the largest overall number of sports-related, catastrophic, cervical spine injuries in the United States (Mueller, 2007). Patient handling can be hindered by the protective sports equipment worn by the athlete. Improper stabilization of these patients can exacerbate neurologic injury. Because of the lack of consensus on the best method for equipment removal, a study was performed comparing three techniques: full body levitation, upper torso tilt, and log roll. These techniques were performed on an intact and lesioned cervical spine cadaveric model simulating conditions in the emergency department. The levitation technique was found to produce motion in the anterior and right lateral directions. The tilt technique resulted in motions in the posterior left lateral directions, and the log roll technique generated motions in the right lateral direction and had the largest amount of increased instability when comparing the intact and lesioned specimen. These findings suggest that each method of equipment removal displays unique weaknesses that the practitioner should take into account, possibly on a patient-by-patient basis.

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