Clearance of the cervical spine in multitrauma patients: The role of advanced imaging
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2020, World NeurosurgeryCitation Excerpt :Surgical approach (anterior, posterior, or combined anteroposterior) is dictated in accordance with fracture morphology, degree of instability, cord compression, and patient-specific factors.8 Computed tomography (CT) is the initial imaging modality used to assess cervical spine instability, because of its high sensitivity and specificity in delineating bony disease, detecting 97%ā100% of cervical fractures.9,10 Although CT imaging identifies bony disease with high sensitivity and specificity, it lacks the ability to highlight soft tissue injury, unlike magnetic resonance imaging (MRI), which provides increased sensitivity, specificity, and accuracy regarding soft tissue (ligamentous, muscular, or discogenic) injury and spinal cord injury (SCI).5,9,11-13
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2019, Intensive and Critical Care NursingAcute management of cervical spine trauma
2018, Handbook of Clinical NeurologyCitation Excerpt :Spinal instability, malalignment, and fracture must all be ruled out prior to obtaining flexionāextension views (McCracken et al., 2013). Although useful as an initial screening tool, radiography alone can still miss a significant number of cervical spine injuries (Cornelius, 2001; Crim et al., 2001; Taneja et al., 2009). When plain films are negative but suspicion remains high, the next diagnostic step is computed tomography (CT).
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2014, Journal of Forensic Radiology and ImagingCitation Excerpt :Consequently, vertebral ligament injury should not be overlooked. Vertebral fractures are usually identified not only at autopsy but also on computed tomography (CT) because the fracture line or vertebral collapse is clearly visualised in almost all cases on CT [3,7ā11]. Ligament injuries can be detected easily by autopsy, because one can recognize a clear haemorrhage around the lesions.