ROLE OF IMAGING MODALITIES IN CERVICAL SPINAL TRAUMA (Review of Literature)

Abstract

IImaging of the cervical spine has undergone substantial changes in the ; I past 10 years. The use of CT and MR imaging has been emphasized by I i

many authors. Other studies have stressed the proper use and interpretation: I of plain radiographs in the emergency setting. There is confusion about/

whether plain films, myelography, CT or MR imaging is best used td i evaluate specific injuries. This study explores the usefulness of CT and I I MR imaging in the diagnosis of injuries of the cervical spine ancl I I I emphasizes the continued importance of conventional radiographx. I I However, the previous modalities should be performed according to tile . 'I ' patient's clinical condition aiming at reaching a proper radiologic ! I diagnosis. Spinal stabilization must be done throughout the examination. < 2)

Conventional Radiography:

I Remains an excellent non expensive screemng test when he I' probability of injury is high and the consequences of missing a fractUre I could be catastrophic. Plain radiographs may be obtained on portable bJsis 'I which is useful in trauma. Some centers use a three-view (lateral, I I anteroposterior and open-mouth) examination for initial screening; however, i Turetsky et al stress the importance of also obtaining right and left oblf' que

I views with the patient supine to detect certain fractures that may nqt be I I I I I