Cervical spine injury: clinical and medico-legal overview.

Autor: Zanza C; Foundation 'Ospedale Alba E Bra Onlus', Verduno, Italy.; Research Training Innovation Infrastructure, Research and Innovation Department, Azienda Ospedaliera SS Antonio E Biagio E Cesare Arrigo, Alessandria, Italy.; Department of Emergency Medicine, Policlinico Gemelli/IRCCS- Catholic University of Sacred Heart, Rome, Italy., Tornatore G; Department of Anesthesia and Intensive Care Medicine, University of Milano Bicocca, Milan, Italy., Naturale C; Emergency Medicine Residency Program, University of Pavia, Pavia, Italy., Longhitano Y; Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital, Verduno, Italy.; Department of Anesthesia and Critical Care Medicine-Critical Care Medicine Division, St. Antonio and Biagio Hospital, Alessandria, Italy., Saviano A; Department of Emergency Medicine, Policlinico Gemelli/IRCCS- Catholic University of Sacred Heart, Rome, Italy., Piccioni A; Department of Emergency Medicine, Policlinico Gemelli/IRCCS- Catholic University of Sacred Heart, Rome, Italy., Maiese A; Department of Surgical, Medical, and Molecular Pathology and Critical Care Medicine, Institute of Legal Medicine, University of Pisa, Pisa, Italy., Ferrara M; Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy., Volonnino G; Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy., Bertozzi G; Department of Clinical and Experimental Medicine, Section of Legal Medicine, University of Foggia, Foggia, Italy. giuseppe.bertozzi@unifg.it., Grassi R; Meyer Children's Hospital, University of Florence, Florence, Italy., Donati F; Department of General Surgery, Orthopedic Institute, Bambino Gesù Children Hospital, Rome, Italy., Karaboue MAA; Department of Clinical and Experimental Medicine, Section of Legal Medicine, University of Foggia, Foggia, Italy.
Jazyk: angličtina
Zdroj: La Radiologia medica [Radiol Med] 2023 Jan; Vol. 128 (1), pp. 103-112. Date of Electronic Publication: 2023 Jan 31.
DOI: 10.1007/s11547-022-01578-2
Abstrakt: Spinal trauma is an important cause of disability worldwide. Injury to the cervical spine (CS) occurs frequently after major trauma. 5-10% of patients with blunt trauma have a cervical spine injury. The cervical spine accounts for ~ 50% of all spinal injuries. Determination of CS stability is a common challenge in the acute care setting of patients with trauma. Several issues, indeed, are of particular concern: who needs CS imaging; what imaging should be obtained; when should computed tomography (CT), magnetic resonance imaging (MRI), or flexion/extension (F/E) radiographs be obtained; and how is significant ligamentous injury excluded in the comatose patient. CT and MRI both have roles to play. This article aims to present the different imaging to frame techniques to be used with greater precision in the acute event also for the purpose of planning the next therapeutic process. An overview of the applicability of the same methods in forensic pathology is also provided highlighting possible future biomarker to ease in diagnosis of acute TBI.
(© 2023. The Author(s).)
Databáze: MEDLINE
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