Download PDF by Daffner: Imaging of Vertebral Trauma

By Daffner

The imaging tools used to judge sufferers with suspected vertebral accidents have gone through radical adjustments some time past decade, the main major being the ascendancy of computed tomography (CT) to turn into the first investigative modality. matters akin to excessive radiation dose linked to CT reports and well-being care reform and value containment actually have a major impression on medical decision-making. This new version of the vintage landmark textual content for vertebral trauma imaging presents an in-depth dialogue at the symptoms and strategies of imaging the backbone according to at present to be had scientific facts. each bankruptcy has been commonly revised and the illustrations characterize cutting-edge imaging. a totally new bankruptcy on pediatric accidents has been further. Imaging of Vertebral Trauma, 3rd version, is a useful and crucial instrument within the evaluate of any sufferer with suspected vertebral or spinal wire harm.

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Extra resources for Imaging of Vertebral Trauma

Sample text

The radiographic anatomy of the occipito-atlantal area has received considerable attention in the radiologic literature [14,15]. The normal relationships of this area were often difficult to assess on radiographs until recently. Occipito-atlantal dislocations and subluxations were once considered uniformly fatal injuries. Major trauma centers, however, are seeing more patients who survive this severe injury, often with little or no neurologic deficits. Several methods have been proposed to describe the normal relationships of the occiput to the atlas [14–17].

38 Lumbarization of S1. When such an anomaly is encountered, three methods can be used to determine the correct lumbar levels. The first method requires the availability of a chest radiograph, a thoracic vertebral radiograph, or a full thoracic and lumbar CT. If such a study is available, it is a simple task to count the thoracic vertebrae. If no other studies are available, the second method should be used. This method is based on the fact that a line drawn across the iliac crests passes through or near the L4 intervertebral disc space.

B) Sagittal CT reconstructed image shows the os (O) to advantage. Thoracic vertebrae The 12 thoracic vertebrae are recognized by the presence of costal facets superiorly and inferiorly on either side of the body and along the transverse processes. These facets articulate with the heads and articular tubercles of the ribs. The last two thoracic vertebrae lack facets on their transverse processes. As in the cervical region, there are typical and atypical vertebrae. The T2 to T8 vertebrae are considered typical; T1 and T9 through T12 are atypical [1–3].

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