HELICAL COMPUTED TOMOGRAPHY ALONE COMPARED WITH PLAIN RADIOGRAPHS WITH ADJUNCT COMPUTED TOMOGRAPHY TO EVALUATE THE CERVICAL SPINE AFTER HIGH-ENERGY TRAUMA

2005 ◽  
Vol 87 (11) ◽  
pp. 2388-2394
Author(s):  
PATRICK T. MCCULLOCH ◽  
JOHN FRANCE ◽  
DINA L. JONES ◽  
WILLIAM KRANTZ ◽  
THUAN-PHUONG NGUYEN ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
High Energy ◽  
Helical Computed Tomography ◽  
High Energy Trauma ◽  
Plain Radiographs

Value of multidetector computed tomography in assessing blunt multitrauma patients

2005 ◽  
Vol 46 (2) ◽  
pp. 177-183 ◽  
Author(s):  
L. Ahvenjärvi ◽  
L. Mattila ◽  
R. Ojala ◽  
O. Tervonen
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Multidetector Computed Tomography ◽  
False Negative ◽  
Contrast Material ◽  
High Energy ◽  
Facial Bones ◽  
Imaging Protocol ◽  
Iodinated Contrast ◽  
Negative Findings

Purpose: To find out if multidetector computed tomography (MDCT), using a dedicated trauma protocol, provides sufficient diagnostic information of the injuries of blunt multitrauma patients to enable the planning of treatment for all body compartments. Material and Methods: One‐hundred‐and‐thirty‐three patients exposed to high‐energy trauma were referred and scanned with the standardized MDCT multitrauma protocol. The imaging protocol consisted of axial scanning of the head and helical scanning of the facial bones, cervical spine, thorax, abdomen, and pelvis. The scanning times were 12 s for the head, 19–21 s for the facial bones and cervical spine (1 mm collimation), and 32–50 s for the thorax, abdomen, and pelvis (2 mm collimation). One‐hundred‐and‐forty milliliters of non‐iodinated contrast material (300 mg I/ml) was administered intravenously at 3 ml/s. Results: Ninety‐nine of the patients (74%) had at least one finding consistent with trauma. The most frequent findings were in the thorax in 58 patients (44%). Nineteen false‐negative findings and two false‐positive findings were made. The overall sensitivity of MDCT was 94%, specificity 100%, and accuracy 97%. Conclusion: MDCT is accurate in the assessment of blunt multitrauma patients. The decision to treat the patient can be made on the basis of MDCT with a reasonable level of certainty.

Clearing the cervical spine in multiple trauma victims: A time-effective protocol using helical computed tomography

1994 ◽  
Vol 1 (6) ◽  
pp. 273-278 ◽  
Author(s):  
Diego B. Nuñez ◽  
Adel A. Ahmad ◽  
Carl G. Coin ◽  
Susan LeBlang ◽  
Jose L. Becerra ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Multiple Trauma ◽  
Helical Computed Tomography ◽  
Trauma Victims

Usefulness of full spine computed tomography in cases of high-energy trauma: a prospective study

2013 ◽  
Vol 24 (S1) ◽  
pp. 167-171 ◽  
Author(s):  
Masanari Takami ◽  
Kazuhiro Nohda ◽  
Junya Sakanaka ◽  
Masamichi Nakamura ◽  
Munehito Yoshida
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
High Energy ◽  
High Energy Trauma ◽  
A Prospective Study

scholarly journals Multiple Adjacent Isolated Thoracic Spinous Process Fractures in High-Energy Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Jacob M. Kirsch ◽  
Amit Nathani ◽  
Rakesh D. Patel
Keyword(s):  
Computed Tomography ◽  
Conservative Management ◽  
Spinous Process ◽  
Functional Results ◽  
High Energy ◽  
Proper Treatment ◽  
Rare Occurrence ◽  
High Energy Trauma

Isolated thoracic spinous process fractures involving multiple adjacent vertebral segments are a rare occurrence in the setting of high-energy trauma. These findings should prompt further investigation to exclude other concomitant osseous or ligamentous injuries. Evaluation by computed tomography is often most useful to detect these fractures. Proper treatment of extensive multilevel injury is poorly defined in the literature. In our experience, conservative management consisting of initial bracing with graduated lifting restrictions has produced excellent functional results.

scholarly journals ANALYSIS OF TYPICAL DAMAGES AT THE DIFFERENT GROUPS OF VICTIMS WITH POLYTRAUMA

2018 ◽  
Vol 18 (4) ◽  
pp. 15-21
Author(s):  
M. V. Govorov ◽  
V. V. Mamontov ◽  
V. V. Govorov ◽  
G. N. Dorovskikh ◽  
N. V. Govorova
Keyword(s):  
Computed Tomography ◽  
Traffic Accidents ◽  
Multislice Computed Tomography ◽  
Road Traffic ◽  
High Energy ◽  
Diagnostic Methods ◽  
Diagnostic Efficiency ◽  
Road Traffic Accidents ◽  
High Energy Trauma

An analysis of typical injuries in 487 victims was conducted, depending on the conditions of injury in road traffic accidents — pedestrian, driver, passenger. Established major injuries in groups characterize the nature of high-energy trauma. Multislice Computed tomography is the method of choice in the diagnosis of associated trauma, it has a high diagnostic efficiency in comparison with other diagnostic methods.

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