Spinal trauma is an important cause of disability worldwide. Injury to the cervical spine (CS) occurs frequently after major trauma. 5–10% of patients with blunt trauma have a cervical spine injury. The cervical spine accounts for~50% of all spinal injuries. Determination of CS stability is a common challenge in the acute care setting of patients with trauma. Several issues, indeed, are of particular concern: who needs CS imaging; what imaging should be obtained; when should computed tomography (CT), magnetic resonance imaging (MRI), or fexion/extension (F/E) radiographs be obtained; and how is signifcant ligamentous injury excluded in the comatose patient. CT and MRI both have roles to play. This article aims to present the diferent imaging to frame techniques to be used with greater precision in the acute event also for the purpose of planning the next therapeutic process. An overview of the applicability of the same methods in forensic pathology is also provided highlighting possible future biomarker to ease in diagnosis of acute TBI.

Cervical spine injury. Clinical and medico-legal overview / Zanza, Christian; Tornatore, Gilda; Naturale, Cristina; Longhitano, Yaroslava; Saviano, Angela; Piccioni, Andrea; Maiese, Aniello; Ferrara, Michela; Volonnino, Gianpietro; Bertozzi, Giuseppe; Grassi, Roberta; Donati, Fabrizio; Ahmed Antonio Karaboue, Michele. - In: LA RADIOLOGIA MEDICA. - ISSN 1826-6983. - 128:1(2023), pp. 103-112. [10.1007/s11547-022-01578-2]

Cervical spine injury. Clinical and medico-legal overview

Michela Ferrara;Gianpietro Volonnino;
2023

Abstract

Spinal trauma is an important cause of disability worldwide. Injury to the cervical spine (CS) occurs frequently after major trauma. 5–10% of patients with blunt trauma have a cervical spine injury. The cervical spine accounts for~50% of all spinal injuries. Determination of CS stability is a common challenge in the acute care setting of patients with trauma. Several issues, indeed, are of particular concern: who needs CS imaging; what imaging should be obtained; when should computed tomography (CT), magnetic resonance imaging (MRI), or fexion/extension (F/E) radiographs be obtained; and how is signifcant ligamentous injury excluded in the comatose patient. CT and MRI both have roles to play. This article aims to present the diferent imaging to frame techniques to be used with greater precision in the acute event also for the purpose of planning the next therapeutic process. An overview of the applicability of the same methods in forensic pathology is also provided highlighting possible future biomarker to ease in diagnosis of acute TBI.
2023
cervical spine injury; nexus criteria; canadian c-spine rule; cervical spine imaging; post-mortem imaging
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Cervical spine injury. Clinical and medico-legal overview / Zanza, Christian; Tornatore, Gilda; Naturale, Cristina; Longhitano, Yaroslava; Saviano, Angela; Piccioni, Andrea; Maiese, Aniello; Ferrara, Michela; Volonnino, Gianpietro; Bertozzi, Giuseppe; Grassi, Roberta; Donati, Fabrizio; Ahmed Antonio Karaboue, Michele. - In: LA RADIOLOGIA MEDICA. - ISSN 1826-6983. - 128:1(2023), pp. 103-112. [10.1007/s11547-022-01578-2]
File allegati a questo prodotto
File Dimensione Formato  
Zanza_Cervical_2023.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 922.24 kB
Formato Adobe PDF
922.24 kB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1672365
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 17
  • ???jsp.display-item.citation.isi??? 3
social impact