Maravilla K R, Cooper P R, Sklar F H
Radiology. 1978 Apr;127(1):131-9. doi: 10.1148/127.1.131.
A study was performed to determine the influence of routine thin-section tomography on subsequent treatment of the patient with acute trauma to the cervical spine. Of 79 such patients who underwent tomography over a 14-month period, 55 had suspicious indirect findings on the radiograph and 25% of these were shown to have fractures, while 67% of the patients without radiographic abnormalities who presented with a neurological deficit also demonstrated fractures on tomography. Of the patients who were shown to have fractures prior to tomography, 54% had more extensive injury than originally suspected. In nearly 18% of patients, the mode of therapy was changed significantly after tomographic evaluation. Indications for tomography are discussed and specific recommendations for systematic radiographic evaluation of cervical spine injuries are presented.
开展了一项研究，以确定常规薄层断层扫描对颈椎急性创伤患者后续治疗的影响。在14个月期间接受断层扫描的79例此类患者中，55例在X线片上有可疑间接征象，其中25%被证实有骨折，而67%无X线片异常但有神经功能缺损的患者在断层扫描中也显示有骨折。在断层扫描前被证实有骨折的患者中，54%的损伤范围比最初怀疑的更广泛。在近18%的患者中，断层扫描评估后治疗方式发生了显著改变。讨论了断层扫描的适应证，并给出了颈椎损伤系统X线评估的具体建议。
