The influence of thin-section tomography on the treatment of cervical spine injuries

K. R. Maravilla, P. R. Cooper, F. H. Sklar

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

A study was performed to determine the influence of routine thin-section tomography on subsequent treatment of the patient with acute trauma to the cervical spine. Of 79 such patients who underwent tomography over a 14-month period, 55 had suspicious indirect findings on the radiograph and 25% of these were shown to have fractures, while 67% of the patients without radiographic abnormalities who presented with a neurological deficit also demonstrated fractures on tomography. Of the patients who were shown to have fractures prior to tomography, 54% had more extensive injury than originally suspected. In nearly 18% of patients, the mode of therapy was changed significantly after tomographic evaluation. Indications for tomography are discussed and specific recommendations for systematic radiographic evaluation of cervical spine injuries are presented.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalRADIOLOGY
Volume127
Issue number1
DOIs
StatePublished - Jan 1 1978

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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