INDICATIONS FOR OBTAINING SURVEILLANCE THORACIC AND LUMBAR SPINE RADIOGRAPHS
The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992...
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| Veröffentlicht in: | The Journal of trauma 1994-10, Vol.37 (4), p.673-676 |
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| container_title | The Journal of trauma |
| container_volume | 37 |
| creator | Frankel, Heidi L. Rozycki, Grace S. Ochsner, M. Gage Harviel, J. Duncan Champion, Howard R. |
| description | The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992 to a level I trauma center with a discharge diagnosis of thoracolumbar spine fracture established entrance criteria for a 4-month prospective study. Relative risk of fracture (RR) was calculated. Retrospective. Seventy-six percent (176 of 233) had radiographs; 21% had fractures; one diagnosed late. Prospective. One hundred percent (167 of 167) had radiographs; 9% (15 of 167) had fractures; none diagnosed late or missed. Forty percent (26 of 65) of patients with fractures had no pain or tenderness; 35% (9) required surgical spinal fixation. Our data define these indications for obtaining thoracolumbar radiographs in patients with blunt injuriesback pain (RR1), fall ± 10 feet, ejection from motorcycle/motor vehicle crash ± 50 mph, GCS score ± 8, (all RR2), and neurologic deficit (RR10). The sensitivity of our surveillance radiography protocol has increased to 100%. The absence of back pain does not exclude significant thoracolumbar trauma. |
| doi_str_mv | 10.1097/00005373-199410000-00024 |
| format | Article |
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Gage ; Harviel, J. Duncan ; Champion, Howard R.</creator><creatorcontrib>Frankel, Heidi L. ; Rozycki, Grace S. ; Ochsner, M. Gage ; Harviel, J. Duncan ; Champion, Howard R.</creatorcontrib><description>The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992 to a level I trauma center with a discharge diagnosis of thoracolumbar spine fracture established entrance criteria for a 4-month prospective study. Relative risk of fracture (RR) was calculated. Retrospective. Seventy-six percent (176 of 233) had radiographs; 21% had fractures; one diagnosed late. Prospective. One hundred percent (167 of 167) had radiographs; 9% (15 of 167) had fractures; none diagnosed late or missed. Forty percent (26 of 65) of patients with fractures had no pain or tenderness; 35% (9) required surgical spinal fixation. Our data define these indications for obtaining thoracolumbar radiographs in patients with blunt injuriesback pain (RR1), fall ± 10 feet, ejection from motorcycle/motor vehicle crash ± 50 mph, GCS score ± 8, (all RR2), and neurologic deficit (RR10). The sensitivity of our surveillance radiography protocol has increased to 100%. The absence of back pain does not exclude significant thoracolumbar trauma.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199410000-00024</identifier><identifier>PMID: 7932902</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Female ; Humans ; Lumbar Vertebrae - diagnostic imaging ; Male ; Medical sciences ; Multiple trauma ; Odds Ratio ; Prospective Studies ; Radiography ; Retrospective Studies ; Sensitivity and Specificity ; Thoracic Vertebrae - diagnostic imaging ; Traumas. Diseases due to physical agents ; Wounds, Nonpenetrating - diagnostic imaging</subject><ispartof>The Journal of trauma, 1994-10, Vol.37 (4), p.673-676</ispartof><rights>Williams & Wilkins 1994. All Rights Reserved.</rights><rights>1995 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3418301$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7932902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frankel, Heidi L.</creatorcontrib><creatorcontrib>Rozycki, Grace S.</creatorcontrib><creatorcontrib>Ochsner, M. Gage</creatorcontrib><creatorcontrib>Harviel, J. Duncan</creatorcontrib><creatorcontrib>Champion, Howard R.</creatorcontrib><title>INDICATIONS FOR OBTAINING SURVEILLANCE THORACIC AND LUMBAR SPINE RADIOGRAPHS</title><title>The Journal of trauma</title><addtitle>J Trauma</addtitle><description>The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992 to a level I trauma center with a discharge diagnosis of thoracolumbar spine fracture established entrance criteria for a 4-month prospective study. Relative risk of fracture (RR) was calculated. Retrospective. Seventy-six percent (176 of 233) had radiographs; 21% had fractures; one diagnosed late. Prospective. One hundred percent (167 of 167) had radiographs; 9% (15 of 167) had fractures; none diagnosed late or missed. Forty percent (26 of 65) of patients with fractures had no pain or tenderness; 35% (9) required surgical spinal fixation. Our data define these indications for obtaining thoracolumbar radiographs in patients with blunt injuriesback pain (RR1), fall ± 10 feet, ejection from motorcycle/motor vehicle crash ± 50 mph, GCS score ± 8, (all RR2), and neurologic deficit (RR10). The sensitivity of our surveillance radiography protocol has increased to 100%. The absence of back pain does not exclude significant thoracolumbar trauma.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multiple trauma</subject><subject>Odds Ratio</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Traumas. 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Duncan</creator><creator>Champion, Howard R.</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199410</creationdate><title>INDICATIONS FOR OBTAINING SURVEILLANCE THORACIC AND LUMBAR SPINE RADIOGRAPHS</title><author>Frankel, Heidi L. ; Rozycki, Grace S. ; Ochsner, M. Gage ; Harviel, J. Duncan ; Champion, Howard R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2804-e6d8661ccd7c1b9eb0dc17102694469b0a7221e78ba012bec6583a1e24a0efd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multiple trauma</topic><topic>Odds Ratio</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Nonpenetrating - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Frankel, Heidi L.</creatorcontrib><creatorcontrib>Rozycki, Grace S.</creatorcontrib><creatorcontrib>Ochsner, M. Gage</creatorcontrib><creatorcontrib>Harviel, J. Duncan</creatorcontrib><creatorcontrib>Champion, Howard R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frankel, Heidi L.</au><au>Rozycki, Grace S.</au><au>Ochsner, M. Gage</au><au>Harviel, J. Duncan</au><au>Champion, Howard R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>INDICATIONS FOR OBTAINING SURVEILLANCE THORACIC AND LUMBAR SPINE RADIOGRAPHS</atitle><jtitle>The Journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1994-10</date><risdate>1994</risdate><volume>37</volume><issue>4</issue><spage>673</spage><epage>676</epage><pages>673-676</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992 to a level I trauma center with a discharge diagnosis of thoracolumbar spine fracture established entrance criteria for a 4-month prospective study. Relative risk of fracture (RR) was calculated. Retrospective. Seventy-six percent (176 of 233) had radiographs; 21% had fractures; one diagnosed late. Prospective. One hundred percent (167 of 167) had radiographs; 9% (15 of 167) had fractures; none diagnosed late or missed. Forty percent (26 of 65) of patients with fractures had no pain or tenderness; 35% (9) required surgical spinal fixation. Our data define these indications for obtaining thoracolumbar radiographs in patients with blunt injuriesback pain (RR1), fall ± 10 feet, ejection from motorcycle/motor vehicle crash ± 50 mph, GCS score ± 8, (all RR2), and neurologic deficit (RR10). The sensitivity of our surveillance radiography protocol has increased to 100%. The absence of back pain does not exclude significant thoracolumbar trauma.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>7932902</pmid><doi>10.1097/00005373-199410000-00024</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Female Humans Lumbar Vertebrae - diagnostic imaging Male Medical sciences Multiple trauma Odds Ratio Prospective Studies Radiography Retrospective Studies Sensitivity and Specificity Thoracic Vertebrae - diagnostic imaging Traumas. Diseases due to physical agents Wounds, Nonpenetrating - diagnostic imaging |
| title | INDICATIONS FOR OBTAINING SURVEILLANCE THORACIC AND LUMBAR SPINE RADIOGRAPHS |
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