Computed tomography vs. magnetic resonance imaging in unstable cervical spine injuries

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dc.contributor.authorKodik, Meltem Songur
dc.contributor.authorEraslan, Cenk
dc.contributor.authorKitis, Omer
dc.contributor.authorAltunci, Yusuf Ali
dc.contributor.authorBiceroglu, Huseyin
dc.contributor.authorAkay, Ali
dc.date.accessioned2020-12-01T12:01:29Z
dc.date.available2020-12-01T12:01:29Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: This study aimed to investigate the role of computed tomography (CT) in identifying missed unstable blunt cervical injuries. METHODS: Patients admitted to the emergency department between June 2014 and June 2018 with a diagnosis of blunt cervical trauma were included in this study. All participants underwent cervical magnetic resonance imaging (MRI) after an initial cervical CT investigation. All imaging results were reviewed, and decisions were taken by the consensus of a team consisting of an emergency medicine specialist, a neuroradiologist, and a neurosurgeon. Other variables included age, sex, the Glasgow Coma Scale, medical comorbidities, multi-trauma, neurological deficits, accompanying intracranial hemorrhage, extremity fractures, and the mechanism of the injury. RESULTS: Data for 195 patients were analyzed. the mean (+/- standard deviation) age of the participants was 47.34 +/- 21.90 years, and 140 (71.8%) were males. Eighteen patients (9.2%) were below age <18. the most frequent mechanism of injury was fall from height (n=100; 51.3%). Using MRI as the gold standard, the sensitivity of CT in diagnosing unstable cervical injury was 77.7% (95% CI [67.1-86.1]), while its specificity was 100.0% (95% CI [59.0-100.0]). CONCLUSION: Although computed tomography is relatively good in diagnosing unstable cervical injuries, its sensitivity in detecting positive cases is not as successful. Thus, the use of MRI in patients with an unstable injury seems to be warranted.en_US
dc.identifier.doi10.14744/tjtes.2019.35813en_US
dc.identifier.endpage438en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.pmid32436971en_US
dc.identifier.scopus2-s2.0-85085158396en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage431en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2019.35813
dc.identifier.urihttps://hdl.handle.net/11454/62432
dc.identifier.volume26en_US
dc.identifier.wosWOS:000536020600014en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical vertebraeen_US
dc.subjectcomputed tomographyen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectneck injuriesen_US
dc.subjectsensitivity and specificityen_US
dc.titleComputed tomography vs. magnetic resonance imaging in unstable cervical spine injuriesen_US
dc.typeArticleen_US

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