Computed tomography versus magnetic resonance imaging for evaluation of the cervical spine: How many slices do you need?

American Surgeon

Volumn 76, Issue 4, 2010, Pages 365-368

  Brown, Carlos V R ^a   Foulkrod, Kelli H ^a   Reifsnyder, Andrew ^a   Bui, Eric ^a   Lopez, Irene ^a   Hummell, Matthew ^a   Coopwood, Ben ^a  

^a University Medical Center Brackenridge   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLUNT TRAUMA; CERVICAL SPINE; CERVICAL SPINE INJURY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; HUMAN; LIGAMENT INJURY; NUCLEAR MAGNETIC RESONANCE IMAGING;

ADULT; CERVICAL VERTEBRAE; CHI-SQUARE DISTRIBUTION; DIAGNOSTIC ERRORS; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; REGISTRIES; RETROSPECTIVE STUDIES; SPINAL INJURIES; STATISTICS, NONPARAMETRIC; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS, NONPENETRATING;

EID: 77950444044     PISSN: 00031348     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Hoffman JR, Schriger DL, Mower W, et al. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med 1992;21:1454-1460
2. Stiell IG, Wells GA, Vandemheen K, et al. The Canadian C-Spine Rule for radiography for alert and stable trauma patients. JAMA 2001;286:1841-1848
3. Brown CVR, Antevil JL, Sise MJ, Sack DI. Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma 2005;58:890-896
4. Insko E, Gracias V, Gupta R, et al. Utility of flexion and extension radiographs of the cervical spine in the acute evaluation of blunt trauma. J Trauma 2002;53:426-429
5. Schuster R, Waxman K, Sanchez B, et al. Magnetic resonance imaging is not need to clear cervical spines in blunt trauma patients with normal computed tomography results and no motor deficits. Arch Surg 2005;140:762-766
6. Stelfox HT, Velmahos GC, Gettings E, et al. Computed tomography for early and safe discontinuation of cervical spine immobilization in obtunded multiply injured patients. J Trauma 2007;63:630-636
7. Padayachee L, Cooper DJ, Irons S, et al. Cervical spine clearance in unconscious traumatic brain injury patients: dynamic flexion-extension fluoroscopy versus computed tomography with three-dimensional reconstruction. J Trauma 2006;60:341-345
8. Bolinger B, Shartz M, Marion D. Bedside fluoroscopic flexion and extension cervical spine radiographs for clearance of the cervical spine in comatose trauma patients. J Trauma 2004;56:132-136
9. Holmes JF, Mirvis SE, Panacek EA, et al. Variability in computed tomography and magnetic resonance imaging in patients with cervical spine injuries. J Trauma 2002;53:524-530
10. Horn EM, Lekovic GP, Feiz-Erfan I, Sonntag VKH, Theodore N. Cervical magnetic resonance imaging abnormalities not predictive of cervical spine instability in traumatically injured patients. J Neurosurg (Spine 1) 2004;1:39-42.
11. Steigelman M, Lopez P, Dent D, et al. Screening cervical spine MRI after normal cervical spine CT scans in patients in whom cervical spine injury cannot be excluded by physical examination. Am J Surg 2008;196:857-863
12. Como JJ, Thompson MA, Anderson JS, et al. Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma? J Trauma 2007;63:544-549
13. Menaker J, Philp A, Boswell S, Scalea TM. Computed tomography alone for cervical spine clearance in the unreliable patient - are we there yet? J Trauma 2008;64:898-904.
14. Sarani B, Waring S, Sonnad S, Schwab CW. Magnetic resonance imaging is a useful adjunct in the evaluation of the cervical spine of injured patients. J Trauma 2007;63:637-640
15. Hogan GJ, Mirvis SE, Shanmuganathan K, Scalea TM. Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: Is MR imaging needed when multi-detector row CT findings are normal? Radiology 2005;237:106-113