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Spinal injury: optimising the imaging options.

V N Cassar-Pullicino1

  • 1The Robert Jones and Agnes Hunt, Orthop. & District Hospital, NHS Trust, Oswestry-Shropshire SY10 7AG, UK. wendy.pullicino@rjahoh-tr.wmids.nhs.uk

European Journal of Radiology
|April 27, 2002
PubMed
Summary

This study reviews guidelines for excluding spinal injury. It explores the use of advanced imaging like computed tomography (CT) and magnetic resonance imaging (MRI) to improve spinal trauma diagnosis.

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Area of Science:

  • Radiology
  • Trauma Imaging
  • Spinal Injury Assessment

Background:

  • Conventional radiography has limitations in excluding spinal injury.
  • Advanced imaging like CT and MRI have confirmed these limitations.
  • There is a need to define optimal use of advanced imaging in trauma settings.

Purpose of the Study:

  • To review literature on risk-based guidelines for spinal injury exclusion.
  • To define the optional use of CT and MRI in trauma settings.
  • To provide current thinking on best practices for excluding/confirming spinal trauma.

Main Methods:

  • Literature review of risk-based guidelines for spinal injury.
  • Synopsis of current thinking on imaging modalities for spinal trauma.
  • Categorization of findings for adult, paediatric, symptomatic, and asymptomatic patients.

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Main Results:

  • Conventional radiography has known limitations for spinal injury exclusion.
  • CT and MRI have confirmed limitations of conventional radiography.
  • The optimal use of advanced imaging in trauma requires further definition.

Conclusions:

  • A comprehensive review of current literature is necessary for spinal trauma diagnosis.
  • Defining the role of CT and MRI is crucial for effective spinal injury management.
  • Further research is needed to establish definitive guidelines for imaging in spinal trauma.