Bibliographic Details
| Title: |
The hidden value of MRI: modifying treatment decisions in C-spine injuries |
| Authors: |
Niklas Rutsch, Florian Schmaranzer, Pascale Amrein, Martin Müller, Christoph E. Albers, Sebastian F. Bigdon |
| Source: |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 32, Iss 1, Pp 1-9 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Cervical vertebrae, Spinal injuries, Magnetic resonance imaging, Computed tomography, Neck injuries, Patient care management, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: |
Abstract Background data Computed Tomography (CT) is the gold standard for cervical spine (c-spine) evaluation. Magnetic resonance imaging (MRI) emerges due to its increasing availability and the lack of radiation exposure. However, MRI is costly and time-consuming, questioning its role in the emergency department (ED). This study investigates the added the value of an additional MRI for patients presenting with a c-spine injury in the ED. Methods We conducted a retrospective monocenter cohort study that included all patients with neck trauma presenting in the ED, who received imaging based on the NEXUS criteria. Spine surgeons performed a full-case review to classify each case into “c-spine injured” and “c-spine uninjured”. Injuries were classified according to the AO Spine classification. We assessed patients with a c-spine injury detected by CT, who received a subsequent MRI. In this subset, injuries were classified separately in both imaging modalities. We monitored the treatment changes after the additional MRI to evaluate characteristics of this cohort and the impact of the AO Spine Neurology/Modifier modifiers. Results We identified 4496 subjects, 2321 were eligible for inclusion and 186 were diagnosed with c-spine injuries in the retrospective case review. Fifty-six patients with a c-spine injury initially identified through CT received an additional MRI. The additional MRI significantly extended (geometric mean ratio 1.32, p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1757-7241 |
| Relation: |
https://doaj.org/toc/1757-7241 |
| DOI: |
10.1186/s13049-024-01235-9 |
| Access URL: |
https://doaj.org/article/f8113a47459b4ce1bbb891b617c2e9f4 |
| Accession Number: |
edsdoj.f8113a47459b4ce1bbb891b617c2e9f4 |
| Database: |
Directory of Open Access Journals |
