title: [Prevalence of incidental findings of the Axial skeleton on computed tomograph of severely injured patients].
abstract: Computed tomography has become an important component in the initial assessment of severely injured patients over the last years. The liberal use coupled with advances in imaging technology often result in incidental findings. In our present investigation, the prevalence incidence of incidental findings of the spine and skull amounted to 58% of all patients with trauma. Degenerative changes were most commonly found, followed by congenital defects and neoplasms. Within the latter, further investigation was necessary in six cases, of which two findings proved to be malignant neoplasms. The high incidence of incidental findings calls for a uniform documentation, handling and clarification of responsibility in treatment and insurance-related competence.
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Max J
authors.initials: MJ
authors.lastname: Scheyerer
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Michael
authors.initials: M
authors.lastname: Hollenstein
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Robert
authors.initials: R
authors.lastname: Doering
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Clement M L
authors.initials: CM
authors.lastname: Werner
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Kai
authors.initials: K
authors.lastname: Sprengel
authors.affiliation: Institut für Diagnostische und Interventionelle Radiologie, Universitätsspital Zürich.
authors.forename: Hatem
authors.initials: H
authors.lastname: Alkadhi
authors.affiliation: Klinik für Unfallchirurgie, Universitätsspital Zürich.
authors.forename: Hans-Peter
authors.initials: HP
authors.lastname: Simmen
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007592:Joint Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D010386:Pelvic Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000556:secondary; D011379:Prognosis; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000556:secondary; D013557:Switzerland; D014057:Tomography, X-Ray Computed
keywords: Computertomographie; Polytrauma; Zufallsbefunde; blessés graves; computer tomography; fortuite; incidental findings; severely injured patients; tomographie