Multidetector CT of blunt cervical spine trauma in adults

David Dreizin, Michael Letzing, Clint W. Sliker, Falgun H. Chokshi, Uttam Bodanapally, Stuart E. Mirvis, Robert Quencer, Felipe Munera

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

A number of new developments in cervical spine imaging have transpired since the introduction of 64-section computed tomographic (CT) scanners in 2004. An increasing body of evidence favors the use of multidetector CT as a stand-alone screening test for excluding cervical injuries in polytrauma patients with obtundation. A new grading scale that is based on CT and magnetic resonance (MR) imaging findings, the cervical spine Subaxial Injury Classification and Scoring (SLIC) system, is gaining acceptance among spine surgeons. Radiographic measurements described for the evaluation of craniocervical distraction injuries are now being reevaluated with the use of multidetector CT. Although most patients with blunt trauma are now treated nonsurgically, evolution in the understanding of spinal stability, as well as the development of new surgical techniques and hardware, has driven management strategies that are increasingly favorable toward surgical intervention. It is therefore essential that radiologists recognize findings that distinguish injuries with ligamentous instability or a high likelihood of nonfusion that require surgical stabilization from those that are classically stable and can be treated with a collar or halo vest alone. The purpose of this article is to review the spectrum of cervical spine injuries, from the craniocervical junction through the subaxial spine, and present the most widely used grading systems for each injury type.

Original languageEnglish
Pages (from-to)1842-1865
Number of pages24
JournalRadiographics
Volume34
Issue number7
DOIs
StatePublished - Jan 1 2014

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Spine
Wounds and Injuries
Nervous System Trauma
Multiple Trauma
Magnetic Resonance Imaging

Cite this

Dreizin, D., Letzing, M., Sliker, C. W., Chokshi, F. H., Bodanapally, U., Mirvis, S. E., ... Munera, F. (2014). Multidetector CT of blunt cervical spine trauma in adults. Radiographics, 34(7), 1842-1865. https://doi.org/10.1148/rg.347130094

Multidetector CT of blunt cervical spine trauma in adults. / Dreizin, David; Letzing, Michael; Sliker, Clint W.; Chokshi, Falgun H.; Bodanapally, Uttam; Mirvis, Stuart E.; Quencer, Robert; Munera, Felipe.

In: Radiographics, Vol. 34, No. 7, 01.01.2014, p. 1842-1865.

Research output: Contribution to journalArticle

Dreizin, D, Letzing, M, Sliker, CW, Chokshi, FH, Bodanapally, U, Mirvis, SE, Quencer, R & Munera, F 2014, 'Multidetector CT of blunt cervical spine trauma in adults', Radiographics, vol. 34, no. 7, pp. 1842-1865. https://doi.org/10.1148/rg.347130094
Dreizin D, Letzing M, Sliker CW, Chokshi FH, Bodanapally U, Mirvis SE et al. Multidetector CT of blunt cervical spine trauma in adults. Radiographics. 2014 Jan 1;34(7):1842-1865. https://doi.org/10.1148/rg.347130094
Dreizin, David ; Letzing, Michael ; Sliker, Clint W. ; Chokshi, Falgun H. ; Bodanapally, Uttam ; Mirvis, Stuart E. ; Quencer, Robert ; Munera, Felipe. / Multidetector CT of blunt cervical spine trauma in adults. In: Radiographics. 2014 ; Vol. 34, No. 7. pp. 1842-1865.
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