English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    G. Sh. Gasimzade

    THE SIGNIFICANCE OF MAGNETIC RESONANCE IMAGING IN ADDITION TO COMPUTER TOMOGRAPHY IN THE EVALUATION OF CERVICAL SPINE TRAUMAS IN PATIENTS WITH BLUNT TRAUMA


    About the author: G. Sh. Gasimzade
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Missed spinal injuries can be fatal, leading to paralysis and lifelong disability. The possibility of avoiding missed trauma was determined in 78 patients with blunt trauma, the mean age was 43.1±8.14 years. The patients underwent CT and MRI. Statistical analysis was conducted using computer software package SPSS. Transport injuries were more common – 87.2 %. In 16.7 % of cases, CT revealed concomitant ossification of the posterior longitudinal ligament. The chance of finding bilateral facet dislocation was 0.238 for hernia using MRI, 0.026 for CT, 0.857 and 0.114 for epidural hematoma, respectively. The chance of finding unilateral facet dislocation with bone edema without fracture was 1.516 on MRI and 0.182 on CT. Bone anatomy is better visualized on CT, disc herniation and hemorrhage on MRI. When evaluating spinal injuries, the use of CT and MRI is recommended.
    Tags blunt trauma, cervical spine, computed tomography, magnetic resonance imaging, injury mechanism, chance ratio
    Bibliography
    • Bazhin AV. Funkcionalnaya magnitno-rezonansnaya tomografija v vertikalnom polozhenii pri issledovanii poyasnichnogo otdela pozvonochnika. Meditsinskaya vizualizatsiya. 2014; 3:19–26. [in Russian]
    • Grin AA, Nekrasov MA, Kajkov AK, Oshhepkov SK, Lvov IS, Ioffe JuS, i dr. Algoritmy diagnostiki i lecheniya patsientov s sochetannoy pozvonochno-spinnomozgovoy travmoy. Hirurgiya pozvonochnika. 2011; 4: 18–26. [in Russian]
    • Kozachenko AV, Khomchenko MA. O trudnom diagnoze, standartakh v meditsine v tselom i standarte ATLS v chastnosti. Meditsina neotlozhnykh sostoyaniy. 2017;2(81):158–162. doi: 10.22141/2224-0586.2.81.2017.99709 [in Russian]
    • Korneev IA, Ahadov TA, Melnikov IA, Ishakov OS, Semenova NA, Dmitrenko DM, i dr. Rol magnitno-rezonansnoy tomografii pri ostroy travme sheynogo otdela pozvonochnika u detey. Meditsinskaya vizualizatsiya. 2018; 22(6): 105–115. doi: 10.24835/1607-0763-2018-6-105-115[in Russian]
    • Tikhova KE, Savello VE, Manukovskij VA, Shumakova TA. Vozmozhnosti magnitno-rezonansnoy i kompyuternoy tomografii v diagnostike ostroy pozvonochno-spinnomozgovoy travmy sheynogo otdela pozvonochnika. Vestnik Rossiyskoy Voenno-meditsinskoy Akademii. 2016; 3(55): 61–70. [in Russian]
    • Artigas Martín JM, Martí de Gracia M, Claraco Vega LM, Parrilla Herranz P. Radiología e imagen en el traumatismo grave. Med Intensiva. 2015; 39: 49–59. doi: 10.1016/j.medine.2014.06.003
    • Brasel KJ. Advanced trauma life support (ATLS®): the ninth edition. ATLS Subcommittee; American College of Surgeons Committee on Trauma; International ATLS working group. J. Trauma Acute Care Surg. 2013; 74(5): 1363–1366. doi: 10.1097/TA.0b013e31828b82f5
    • Gamal GH. Evaluation of spinal trauma by multi detector computed tomography and magnetic resonance imaging. ScienceDirect. 2014; 45(4): 1209–1214. doi: 10.1016/j.ejrnm.2014.08.002
    • Hogan GJ, Mirvis SE, Shanmuganathan K, Scalea TM. 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: 106–113. doi: 10.1148/radiol.2371040697
    • Kumar Y, Hayashi D. Role of magnetic resonance imaging in acute spinal trauma: A pictorial review. BMC Musculoskeletal Disorders. 2016; 17(1): 310–319. doi: 10.1186/s12891-016-1169-6
    • Lau BPH, Hey HWD, Lau ET, Nee PY, Tan KA, Tan WT. The utility of magnetic resonance imaging in addition to computed tomography scans in the evaluation of cervical spine injuries: a study of obtunded blunt trauma patients. Eur Spine J. 2018; 27: 1028–1033. doi: 10.1007/s00586-017-5317-y
    • Panczykowski DM, Tomycz ND, Okonkwo DO. Comparative effectiveness of using computed tomography alone to exclude cervical spine injuries in obtunded or intubated patients: meta-analysis of 14,327 patients with blunt trauma. J Neurosurg. 2011; 115: 541–549. doi:10.3171/2011.4.JNS101672
    • Preethi G, Abubacker SF, Soorya P, Parthasarathy EA, Rajamani A, Ramya K. Role of CT and MRI in Spinal Trauma. International Journal of Contemporary Medicine Surgery and Radiology. 2018; 3(2): B11–B14. doi: 10.21276/ijcmsr.2018.3.2.4
    • Raza M, Elkhodair S, Zaheer A, Yousaf S. Safe cervical spine clearance in adult obtunded blunt trauma patients on the basis of a normal multidetector CT scan-a meta-analysis and cohort study. Injury. 2013; 44: 1589–1595. doi: 10.1016/j.injury.2013.06.005
    • Tins BJ. Imaging investigations in Spine Trauma: The value of commonly used imaging modalities and emerging imaging modalities. J Clin Orthop Trauma. 2017; 8(2): 107–115. doi: 10.1016/j.jcot.2017.06.012
    Publication of the article «World of Medicine and Biology» №4(78), 2021 year, 031-035 pages, index UDK 616.711:620.18+616.832
    DOI 10.26724/2079-8334-2021-4-78-31-35