Primary Imaging Test for Suspected Traumatic Thoracolumbar Spine Injury: 2017 Guidelines by the Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency

Overview

Journal Korean J Radiol

Specialty Radiology

Date 2019 May 28

PMID 31132816

Citations 2

Authors

Guen Young Lee

Ji Young Hwang

Na Ra Kim

Yusuhn Kang

Miyoung Choi

JiMin Kim

Eun Ju Ha

Jung Hwan Baek

Affiliations

Soon will be listed here.

Abstract

The Korean Society of Radiology and the National Evidence-based Healthcare Collaborating Agency developed a primary imaging test for suspected traumatic thoracolumbar spine injury. This guideline was developed using an adaptation process involving collaboration between the development committee and the working group. The development committee, consisting of research methodology experts, established the overall plan and provided support on research methodology. The working group, composed of radiologists with expertise in musculoskeletal imaging, wrote the recommendation. The guidelines recommend that thoracolumbar spine computed tomography without intravenous contrast enhancement be the first-line imaging modality for diagnosing traumatic thoracolumbar spine injury in adults.

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References

van Beek E, Been H, Ponsen K, Maas M . Upper thoracic spinal fractures in trauma patients - a diagnostic pitfall. Injury. 2000; 31(4):219-23. DOI: 10.1016/s0020-1383(99)00235-1. View

Gestring M, Gracias V, Feliciano M, Reilly P, Shapiro M, Johnson J . Evaluation of the lower spine after blunt trauma using abdominal computed tomographic scanning supplemented with lateral scanograms. J Trauma. 2002; 53(1):9-14. DOI: 10.1097/00005373-200207000-00003. View

Rhee P, Bridgeman A, Acosta J, Kennedy S, Wang D, Sarveswaran J . Lumbar fractures in adult blunt trauma: axial and single-slice helical abdominal and pelvic computed tomographic scans versus portable plain films. J Trauma. 2002; 53(4):663-7; discussion 667. DOI: 10.1097/00005373-200210000-00007. View

Wintermark M, Mouhsine E, Theumann N, Mordasini P, van Melle G, Leyvraz P . Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 2003; 227(3):681-9. DOI: 10.1148/radiol.2273020592. View

Hsu J, Joseph T, Ellis A . Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging. Injury. 2003; 34(6):426-33. DOI: 10.1016/s0020-1383(02)00368-6. View

Hauser C, Visvikis G, Hinrichs C, Eber C, Cho K, Lavery R . Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. J Trauma. 2003; 55(2):228-34; discussion 234-5. DOI: 10.1097/01.TA.0000076622.19246.CF. View

Silberstein M, Tress B, Hennessy O . A comparison between M.R.I. and C.T. in acute spinal trauma. Australas Radiol. 1992; 36(3):192-7. DOI: 10.1111/j.1440-1673.1992.tb03150.x. View

Sheridan R, Peralta R, Rhea J, Ptak T, Novelline R . Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma. 2003; 55(4):665-9. DOI: 10.1097/01.TA.0000048094.38625.B5. View

Dai L, Yao W, Cui Y, Zhou Q . Thoracolumbar fractures in patients with multiple injuries: diagnosis and treatment-a review of 147 cases. J Trauma. 2004; 56(2):348-55. DOI: 10.1097/01.TA.0000035089.51187.43. View

10.

Brandt M, Wahl W, Yeom K, Kazerooni E, Wang S . Computed tomographic scanning reduces cost and time of complete spine evaluation. J Trauma. 2004; 56(5):1022-6. DOI: 10.1097/01.ta.0000124304.68584.2c. View

11.

Herzog C, Ahle H, Mack M, Maier B, Schwarz W, Zangos S . Traumatic injuries of the pelvis and thoracic and lumbar spine: does thin-slice multidetector-row CT increase diagnostic accuracy?. Eur Radiol. 2004; 14(10):1751-60. DOI: 10.1007/s00330-004-2424-z. View

12.

Chang C, Holmes J, Mower W, Panacek E . Distracting injuries in patients with vertebral injuries. J Emerg Med. 2005; 28(2):147-52. DOI: 10.1016/j.jemermed.2004.10.010. View

13.

Brown C, Antevil J, Sise M, Sack D . Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma. 2005; 58(5):890-5. DOI: 10.1097/01.ta.0000162149.89139.ff. View

14.

Hogan G, Mirvis S, Shanmuganathan K, Scalea T . Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal?. Radiology. 2005; 237(1):106-13. DOI: 10.1148/radiol.2371040697. View

15.

Gertzbein S . Scoliosis Research Society. Multicenter spine fracture study. Spine (Phila Pa 1976). 1992; 17(5):528-40. DOI: 10.1097/00007632-199205000-00010. View

16.

Lucey B, Stuhlfaut J, Hochberg A, Varghese J, Soto J . Evaluation of blunt abdominal trauma using PACS-based 2D and 3D MDCT reformations of the lumbar spine and pelvis. AJR Am J Roentgenol. 2005; 185(6):1435-40. DOI: 10.2214/AJR.04.1396. View

17.

Berry G, Adams S, Harris M, Boles C, McKernan M, Collinson F . Are plain radiographs of the spine necessary during evaluation after blunt trauma? Accuracy of screening torso computed tomography in thoracic/lumbar spine fracture diagnosis. J Trauma. 2006; 59(6):1410-3. DOI: 10.1097/01.ta.0000197279.97113.0e. View

18.

Daffner R, Sciulli R, Rodriguez A, Protetch J . Imaging for evaluation of suspected cervical spine trauma: a 2-year analysis. Injury. 2006; 37(7):652-8. DOI: 10.1016/j.injury.2006.01.018. View

19.

Inaba K, Munera F, Mckenney M, Schulman C, de Moya M, Rivas L . Visceral torso computed tomography for clearance of the thoracolumbar spine in trauma: a review of the literature. J Trauma. 2006; 60(4):915-20. DOI: 10.1097/01.ta.0000196926.79065.6e. View

20.

Salim A, Sangthong B, Martin M, Brown C, Plurad D, Demetriades D . Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study. Arch Surg. 2006; 141(5):468-73. DOI: 10.1001/archsurg.141.5.468. View