AI Article Synopsis

  • Traumatic cervical spine injuries in kids are different from adults, so doctors need to be careful about how they check for these injuries.
  • In a study, they looked at nearly 1,500 kids who had CT scans, finding 52 with spinal injuries.
  • They discovered that in some cases, important injuries were missed on CT scans but later found using MRI, especially when checking for certain types of bleeding.

Article Abstract

Background: Traumatic cervical spine injury (CSI) is fundamentally different in children, and imaging recommendations vary; however, prompt diagnosis is necessary.

Methods: We conducted a retrospective cohort study, evaluating children who presented after traumatic injury from 7/1/2012 to 12/31/2019 receiving a cervical spine CT. Evaluation of the incidence and clinical significance of CSI undetected on CT subsequently diagnosed on MRI was conducted. Additionally, all with CSI underwent image review to evaluate for potential overlooked, but visible pathology.

Results: 1487 children underwent a cervical spine CT, revealing 52 with CSI. 237 underwent MRI due to an abnormal CT or continued clinical concern. Ultimately, three were discovered to have clinically significant CSI missed on CT. In all cases, retrospective review demonstrated a retroclival hematoma when soft tissue windows were formatted in sagittal and coronal views.

Conclusions: A normal CT may be sufficient to rule-out clinically significant CSI. However, the presence of a retroclival hematoma must be evaluated.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2023.03.001DOI Listing

Publication Analysis

Top Keywords

cervical spine
16
clinically csi
8
retroclival hematoma
8
csi
6
ct? cervical
4
spine
4
spine computed
4
computed tomographic
4
tomographic imaging
4
imaging sufficient
4

Similar Publications

[Which diagnostic tests are indicated in the emergency department after trauma to the cervical spine?].

Unfallchirurgie (Heidelb)

January 2025

Klinik für Unfall‑, Hand- & Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient's medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed.

View Article and Find Full Text PDF

Study Design: Cohort retrospective study.

Objective: We evaluated and compared the outcomes of anterior cervical discectomy with fusion (CDF) and anterior cervical corpectomy with iliac crest graft and fusion (CCF) in patients with ≥3 level degenerative cervical myelopathy (DCM).

Background: Anterior and posterior approaches are widely employed in DCM when compressive elements predominate in the anterior or posterior spinal cord, respectively.

View Article and Find Full Text PDF

High Preoperative T1 Slope is a Marker for Global Sagittal Malalignment.

Clin Spine Surg

January 2025

Department of Orthopedic Surgery, NYU Langone Health, New York, NY.

Study Design: Retrospective cohort study.

Objective: To develop parameter thresholds obtainable from cervical radiographs that correlate with concomitant thoracolumbar malalignment.

Summary Of Background Data: T1 slope (T1S) is typically discussed in the context of cervical deformity and correlated with health-related quality of life outcomes.

View Article and Find Full Text PDF

Cervical synovial cysts are rare, especially hemorrhagic cervical synovial cysts. The patient was a 58-year-old male with a five-month history of tingling in his right shoulder region, radicular pain in his right arm, and increased pain on the right chest wall that worsened with lying supine down. The patient was diagnosed with a right-sided hemorrhagic synovial cyst at the C7-T1 level.

View Article and Find Full Text PDF

A 41-year-old man with a history of obesity, hypertension, and smoking suffered from numbness and weakness in both lower limbs. He was diagnosed with ossification of the posterior longitudinal ligament and ligamentum flavum in the cervical and thoracic spine by X-rays, CT, and MRI. The patient underwent laminectomies at T2 and T3 levels, along with posterior fusion from T1 to T4, to address an upper thoracic spine lesion causing sensory deficits up to T5 and gait disturbances.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!