Department of Imaging Science, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA.
Emerg Radiol. 2023 Aug;30(4):485-497. doi: 10.1007/s10140-023-02141-w. Epub 2023 May 31.
The diagnosis of cervical spine injury in the emergency department remains a critical skill of emergency room physicians as well as radiologists. Such diagnoses are often associated with high morbidity and mortality unless readily identified and treated appropriately. Both computed tomography (CT) and magnetic resonance imaging (MRI) often are crucial in the workup of spinal injury and play a key role in arriving at a diagnosis. Unfortunately, missed cervical spine injuries are not necessarily uncommon and often precede detrimental neurologic sequalae. With the increase in whole-body imaging ordered from the emergency department, it is critical for radiologists to be acutely aware of key imaging features associated with upper cervical trauma, possible mimics, and radiographic clues suggesting potential high-risk patient populations. This pictorial review will cover key imaging features from several different imaging modalities associated with upper cervical spine trauma, explore patient epidemiology, mechanism, and presentation, as well as identify confounding radiographic signs to aid in confident and accurate diagnoses.
在急诊科，对颈椎损伤的诊断仍然是急诊医师和放射科医师的一项关键技能。除非能够迅速识别并进行适当治疗，否则这些诊断通常与高发病率和死亡率相关。计算机断层扫描（CT）和磁共振成像（MRI）在脊柱损伤的评估中通常都至关重要，并且在诊断中起着关键作用。不幸的是，颈椎损伤漏诊并不罕见，并且常常导致不良的神经后果。随着急诊科全身成像检查的增加，放射科医生敏锐地意识到与上颈椎创伤相关的关键影像学特征、可能的类似物以及提示潜在高危患者人群的影像学线索至关重要。本影像学综述将涵盖与上颈椎创伤相关的几种不同影像学模式的关键影像学特征，探讨患者的流行病学、发病机制和表现，以及识别可能导致诊断困难的影像学征象，以帮助做出自信而准确的诊断。
