Multidirectional tomography in cervical spine injury

Russin, Lincoln D.; Guinto, Faustino C.

doi:10.3171/jns.1976.45.1.0009

Cited by 12 publications

(4 citation statements)

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“…Conventional tomography is still considered the standard investigation of choice for these injuries when a more detailed work-up is required to clarify a questionable radiograph or to gain a better understanding of the fracture pattern [6]. Although conventional tomography delivers excellent visualization of the bony details, a single examination takes 20-30 min [19]. During this period, the patient should lie in the lateral decubitus position to get the optimal picture quality [7].…”

Section: Discussionmentioning

confidence: 99%

“…This is difficult or even impossible for many patients during the acute work-up of an odontoid fracture [1]. The advantages of the conventional tomogram as an adjunct to the usual investigations for cervical spine injuries are well documented in the literature [17,19]. Investigations by Ehara et al have shown that in 6% of cases the odontoid fracture was not seen on conventional radiographs and could only be visualized using tomography [7].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, some of the fractures did not require operative treatment. As far as radiological investigations are concerned, conventional tomography has been considered the gold standard to rule out a fracture [1,13,19]. Still, there are fractures where the conventional tomogram is not clearly diagnostic (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…CT scans versus conventional tomography in acute fractures of the odontoid process cally shortened with the use of spiral CT scanners, so that only a few minutes are required per examination. In comparison, the patient has to lie still for about 30 min for examination with the conventional tomography machine [19]. The quality of two-dimensional (2D) CT reconstructions can be optimized by adjusting the thickness of the cuts [1,11,18].…”

Section: Weißkopf R Reindl R Schröder P Hopfenmüller T Mittlmeiermentioning

confidence: 99%

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CT scans versus conventional tomography in acute fractures of the odontoid process

et al. 2001

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Fractures of the odontoid process are dangerous injuries of the upper cervical spine, because of their potential instability. They account for 7-12% of acute cervical spine fractures [5, 9]. Most of these injuries are diagnosed on the basis of conventional radiographs, including anteroposterior (AP), lateral and transoral views [9]. Five to ten percent of odontoid fractures require further diagnostic investigations for definitive diagnosis [7]. Conventional tomography in two planes is not only used for the exclusion, but also for the detailed visualization of the fracture, in particular, with regard to therapy planning [13, 17, 19]. Over the last two decades, computerized tomography (CT) has established itself as the standard diagnostic tool in the investigation of bony pathology in the cervical spine [5, 6, 11]. The data acquisition time has been drasti-Abstract Four different radiological diagnostic methods were compared as to their diagnostic relevance in the analysis of odontoid fractures. Thirtyone patients with fresh odontoid fractures were investigated using standard anteroposterior and lateral radiographs, conventional tomography, axial computerized tomography and two-dimensional reconstruction in the sagittal and the coronal planes. As a control, 13 patients without odontoid fractures were examined. The results of the different investigations were correlated with the actual (clinical and/or intra-operative) findings. The coefficients of correlation for the conventional tomography and two-dimensional reconstruction were κ=0.774 and κ=0.907, respectively. For conventional radiography and axial computerized tomography (CT), the coefficients were clearly lower, at κ=0.364 and κ=0.627, respectively. The less time-consuming CT examination with sagittal and coronal reconstructions is equivalent with respect to diagnostic accuracy and can, therefore, replace conventional tomography in the evaluation of odontoid fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Weißkopf R Reindl R Schröder P Hopfenmüller T Mittlmeiermentioning

confidence: 99%

See 2 more Smart Citations