J Korean Soc Traumatol.  2009 Jun;22(1):24-28.

Is There a Need for Conventional Spine Radiographs Following a Negative Chest and Abdominal CT in Trauma Patients?

Affiliations
  • 1Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. scoh@paik.ac.kr

Abstract

PURPOSE
This was conducted to assess the need for conventional radiographs of the thoracolumbar spine for routine screening of trauma patients who revealed no spinal trauma on chest and abdominal computed tomography (CT).
METHODS
We performed a retrospective review of the medical records of trauma patients who underwent conventional radiographs of the thoracolumbar spine following a chest and abdominal CT that revealed no spinal trauma.
RESULTS
Two hundred seventy-five trauma patients underwent conventional radiographs of the thoracolumbar spine following a chest and abdominal CT that revealed no spinal trauma. In 274 of the cases, the thoracolumbar spine series was also negative.
CONCLUSION
CT of the chest and abdomen is an adequate evaluation of the thoracolumbar spine in trauma patients who require routine thoracolumbar spine screening, making subsequent conventional radiographs of the thoracolumbar spine unnecessary.

Keyword

Computed tomography; Radiography; Thoracic vertebra; Trauma

MeSH Terms

Abdomen
Humans
Mass Screening
Medical Records
Retrospective Studies
Spine
Thorax
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