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Semin Musculoskelet Radiol 2017; 21(03): 199-209
DOI: 10.1055/s-0037-1602406
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Emergency and Trauma Imaging of the Thoracolumbar Spine

Ricardo Moutinho
1   Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
,
Prudencia Tyrrell
1   Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
,
Victor N. Cassar-Pullicino
1   Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
› Author Affiliations
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Publication History

Publication Date:
01 June 2017 (online)

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Abstract

Spine trauma is a devastating event with high morbidity and mortality and many additional medical, psychological, social, and financial consequences for patients, their families, and society. The thoracolumbar spine represents the most common area fractured in the spine. Morphology, extent, and the location of fracture lines are important determinants of stability, which is the core issue in the assessment of vertebral injuries, dictating conservative or surgical treatment. After hospital admission and clinical stabilization, patients with potential spine trauma are screened radiologically. Imaging analysis is based on radiographs, computed tomography, and magnetic resonance imaging. Understanding these three tools is essential to get a clear picture of the extent of any vertebral fracture. A multidisciplinary team should provide assessment, treatment, and education to patients with a spinal injury to achieve a treatment tailored for each patient. Thoracolumbar trauma focusing on spinal biomechanics, stability, imaging modalities, morphology patterns, classifications, and treatment are discussed and reviewed.

Keywords

thoracolumbar spine trauma - stability - CT - MRI - morphology patterns - treatment
 

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