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Published in: European Spine Journal 1/2010

01-03-2010 | Review Article

Trauma of the spine and spinal cord: imaging strategies

Authors: P. M. Parizel, T. van der Zijden, S. Gaudino, M. Spaepen, M. H. J. Voormolen, C. Venstermans, F. De Belder, L. van den Hauwe, J. Van Goethem

Published in: European Spine Journal | Special Issue 1/2010

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Abstract

Traumatic injuries of the spine and spinal cord are common and potentially devastating lesions. We present a comprehensive overview of the classification of vertebral fractures, based on morphology (e.g., wedge, (bi)concave, or crush fractures) or on the mechanism of injury (flexion-compression, axial compression, flexion-distraction, or rotational fracture-dislocation lesions). The merits and limitations of different imaging techniques are discussed, including plain X-ray films, multi-detector computed tomography (MDCT), and magnetic resonance imaging (MRI) for the detection. There is growing evidence that state-of-the-art imaging techniques provide answers to some of the key questions in the management of patients with spine and spinal cord trauma: is the fracture stable or unstable? Is the fracture recent or old? Is the fracture benign or malignant? In summary, we show that high-quality radiological investigations are essential in the diagnosis and management of patients with spinal trauma.
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Metadata
Title
Trauma of the spine and spinal cord: imaging strategies
Authors
P. M. Parizel
T. van der Zijden
S. Gaudino
M. Spaepen
M. H. J. Voormolen
C. Venstermans
F. De Belder
L. van den Hauwe
J. Van Goethem
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 1/2010
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-009-1123-5

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