[Imaging of acute spinal injury].
The mechanism location and type of injury varies according to patient age and severity of trauma. The imaging work-up with radiographs, CT and MRI must be adapted to each individual case. In the setting of minor trauma, standard radiographs are obtained when clinically indicated. In all other cases of high energy trauma, spinal trauma with neurological deficit or incomplete or difficult standard radiographic evaluation, CT will be indicated for osseous injuries while MRI will provide optimal evaluation of soft tissues. Dislocations require immediate treatment. The imaging work-up should by no means delay management. Significant sprains are rare. Several diagnostic pitfalls occur at both extremities of life.
Dosch
Jc
J
Service de radiologie, Centre de chirurgie orthopédique et de la main Illkirch BP 49, 67098 Strasbourg cedex, France. Jean-Claude.Dosch@chru-strasbourg.fr
Moser
T
T
Dietemann
Jl
J
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000293:injuries / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007223:Infant; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology; D008159:Lumbar Vertebrae / Q000293:injuries / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis; D016103:Spinal Fractures / Q000175:diagnosis / Q000209:etiology; D013124:Spinal Injuries / Q000175:diagnosis* / Q000209:etiology; D013904:Thoracic Vertebrae / Q000293:injuries / Q000473:pathology; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D003287:Contrast Media