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Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in Trauma

Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in Trauma The Journal of TRAUMA Injury, Infection, and Critical Care Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in Trauma Carl J. Hauser, MD, FACS, George Visvikis, MD, Clay Hinrichs, MD, Corey D. Eber, MD, Kyunghee Cho, MD, Robert F. Lavery, MS, MICP, and David H. Livingston, MD, FACS Objective: Concern for thoracolum- the chest, abdomen, and pelvis (CT/CAP) CT/CAP it was 1.4% (95% CI, 0.3–3.3%). bar spine (TLS) injuries after major and XR/TLS. Initial radiologic diagnoses No fractures were missed by CT/CAP. No trauma mandates immobilization pending were compared with the discharge diag- unstable fracture was missed by either radiographic evaluation. Current proto- nosis of acute fractures confirmed by thin- technique. cols use standard posteroanterior and lat- cut CT scan and/or clinical examination of Conclusion: CT/CAP diagnoses TLS eral radiographs of the thoracolumbar the patient when alert. fractures more accurately than XR/TLS. spine (XR/TLS), but many patients also Results: Of 222 patients studied, 215 Neither misses unstable fractures, but CT undergo abdominal or thoracic computed were fully evaluated. Thirty-six (17%) scanning finds small fractures that benefit tomographic (CT) scanning. We sought to had acute TLS fractures. The accuracy of by treatment and identifies chronic dis- evaluate whether http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Trauma: Injury, Infection, and Critical Care Wolters Kluwer Health

Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in Trauma

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References (15)

ISSN
0022-5282
DOI
10.1097/01.TA.0000076622.19246.CF
pmid
12913630
Publisher site
See Article on Publisher Site

Abstract

The Journal of TRAUMA Injury, Infection, and Critical Care Prospective Validation of Computed Tomographic Screening of the Thoracolumbar Spine in Trauma Carl J. Hauser, MD, FACS, George Visvikis, MD, Clay Hinrichs, MD, Corey D. Eber, MD, Kyunghee Cho, MD, Robert F. Lavery, MS, MICP, and David H. Livingston, MD, FACS Objective: Concern for thoracolum- the chest, abdomen, and pelvis (CT/CAP) CT/CAP it was 1.4% (95% CI, 0.3–3.3%). bar spine (TLS) injuries after major and XR/TLS. Initial radiologic diagnoses No fractures were missed by CT/CAP. No trauma mandates immobilization pending were compared with the discharge diag- unstable fracture was missed by either radiographic evaluation. Current proto- nosis of acute fractures confirmed by thin- technique. cols use standard posteroanterior and lat- cut CT scan and/or clinical examination of Conclusion: CT/CAP diagnoses TLS eral radiographs of the thoracolumbar the patient when alert. fractures more accurately than XR/TLS. spine (XR/TLS), but many patients also Results: Of 222 patients studied, 215 Neither misses unstable fractures, but CT undergo abdominal or thoracic computed were fully evaluated. Thirty-six (17%) scanning finds small fractures that benefit tomographic (CT) scanning. We sought to had acute TLS fractures. The accuracy of by treatment and identifies chronic dis- evaluate whether

Journal

The Journal of Trauma: Injury, Infection, and Critical Care – Wolters Kluwer Health

Published: Aug 1, 2003

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