Paszkowska Emilia, Wasilewski Grzegorz, Szalcunas-Olsztyn Anna, Widawski Tomasz, Stefanowicz Elzbieta
Division of Radiology and Diagnostic Imaging, Regional Specialised Hosptial, Olsztyn.
Ortop Traumatol Rehabil. 2010 Jan-Feb;12(1):12-8.
This paper evaluates the usefulness of spiral CT and conventional radiographs in the assessment of cervical spine injuries in polytrauma patients. The data are used as a basis for determining a precise and quick method for the assessment of the severity of cervical spine injuries that is also possibly least inconvenient for the patient.This approach is important due to the high risk of cervical spine injuries in patients with severe polytrauma and head injuries, as appropriate diagnostic work-up will help avoid unnecessary examinations and shorten time to diagnosis.
The study population consisted of 46 polytrauma patients hospitalized at the Intensive Care Unit of the Regional Hospital in Olsztyn. The efficacy of the diagnosis of cervical spine injuries on the basis of conventional radiographs and spiral CT studies was compared.
Conventional radiographs failed to cover the entire cervical spine in all patient, and the assessment of most radiographic images was either difficult or unclear. Spiral CT studies with reformations were able to provide complete image of injuries to bony structures in all patients.
Spiral CT with reformations (MPR and VRT) should be the basic modality in the diagnosis of cervical spine fractures. An appropriate treatment method may be selected and mistakes in the interpretation of injuries may be avoided on the basis of CT studies. Its other advantages are the short time required to perform the scan and the possibility of supporting vital functions in polytrauma patients during the examination.
本文评估螺旋CT和传统X线片在评估多发伤患者颈椎损伤中的作用。这些数据将作为确定一种精确、快速评估颈椎损伤严重程度方法的基础，该方法对患者造成的不便可能也是最小的。鉴于严重多发伤和头部受伤患者颈椎损伤风险较高，这种方法很重要，因为适当的诊断检查将有助于避免不必要的检查并缩短诊断时间。
研究对象为在奥尔什丁地区医院重症监护病房住院的46例多发伤患者。比较了基于传统X线片和螺旋CT检查诊断颈椎损伤的有效性。
传统X线片未能覆盖所有患者的整个颈椎，大多数X线影像的评估困难或不清晰。螺旋CT重建检查能够为所有患者提供完整的骨结构损伤图像。
螺旋CT重建（多平面重组和容积再现技术）应作为诊断颈椎骨折的基本方式。基于CT检查可以选择合适的治疗方法，并避免损伤解读错误。它的其他优点是扫描所需时间短，并且在检查过程中能够支持多发伤患者的重要生命功能。
