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Imaging of spinal trauma.

Linda J Bagley¹

¹Department of Radiology, University of Pennsylvania School of Medicine, University of Pennsylvania Medical Center, Philadelphia, PA 19104, USA. linda.bagley@uphs.upenn.edu

Radiologic Clinics of North America

|November 22, 2005

Summary

Spinal column injuries affect 2-3% of blunt trauma patients annually. This review covers screening, advanced imaging (CT/MR), safety, and evaluating whiplash and delayed trauma effects.

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Area of Science:

Radiology
Trauma Surgery
Neurosurgery

Background:

Blunt trauma frequently causes spinal column injuries, leading to severe outcomes.
Accurate and timely diagnosis is crucial for effective patient management.
Established clinical criteria guide initial patient assessment.

Purpose of the Study:

To review clinical screening criteria for spinal injury.
To discuss the utility and safety of multidetector CT and MR imaging in spinal trauma evaluation.
To outline the role of imaging in assessing whiplash, instability, vascular injury, and delayed sequelae.

Main Methods:

Review of clinical guidelines and imaging protocols for spinal trauma.
Discussion of multidetector computed tomography (CT) and magnetic resonance (MR) imaging techniques.
Analysis of imaging findings related to acute and delayed post-traumatic spinal conditions.

Main Results:

Clinical screening effectively identifies patients at risk for spinal injury.
Multidetector CT and MR imaging are essential for detailed evaluation of spinal trauma.
Imaging plays a key role in diagnosing whiplash, instability, vascular damage, and late complications.

Conclusions:

Multimodal imaging, including CT and MR, is vital for comprehensive spinal trauma assessment.
Adherence to safety protocols during imaging is paramount.
Imaging aids in managing both acute injuries and long-term consequences of spinal trauma.

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