caa a22 4500 606171789 CHVBK 20210128100724.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10140-015-1295-8 doi (NATIONALLICENCE)springer-10.1007/s10140-015-1295-8 Reformatted images of the thoracic and lumbar spine following CT of chest, abdomen, and pelvis in the setting of blunt trauma: are they necessary? [Elektronische Daten] [Britton Carter, Brent Griffith, Feras Mossa-Basha, Stephen Zintsmaster, Suresh Patel, Todd Williams, Pat Patton, Phyllis Vallee] Injuries involving the thoracic and lumbar (TL) spine in the setting of blunt trauma are not uncommon. At our institution, CT of the chest, abdomen, and pelvis (CT CAP) with dedicated reformatted images of the thoracolumbar spine (CT TL) is part of the standard work-up of patients following significant blunt trauma. The purpose of this study was to compare the detection rate of TL spine fractures on routine trauma CT CAP with reformatted CT TL spine images and determine whether these reformatted images detect additional fractures and if these altered patient management. The imaging records of 1000 consecutive patients who received blunt trauma protocol CT CAP with CT TL spine reformats were reviewed to determine identification of TL spine fracture in each report. Fracture type and location were documented. Of the 896 patients, 66 (7.4%) had fractures of the TL spine identified on either CT CAP or CT TL spine. Of these 66 patients, 40 (60.6%) had fractures identified on both CT CAP and CT TL spine and 24 (36.4%) had fractures identified on CT TL spine images alone. Fourteen patients required treatment with surgery or bracing, 4 (28.6%) of which had fractures identified on reformatted TL spine imaging only. In conclusion, a significant number of fractures are detected on TL spine reformats that are not identified on CT CAP alone, altering patient management in a few cases and suggesting that dedicated TL spine reformats should be a standard part of the work-up of blunt trauma patients. American Society of Emergency Radiology, 2015 Blunt trauma nationallicence Thoracic and lumbar spine nationallicence Fracture nationallicence Computed tomography nationallicence Carter Britton Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Griffith Brent Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Mossa-Basha Feras Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Zintsmaster Stephen Department of Radiology, William Beaumont Hospital, 3601 W. Thirteen Mile Road, 48073, Royal Oak, MI, USA aut Patel Suresh Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Williams Todd Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Patton Pat Department of Surgery, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Vallee Phyllis Department of Emergency Medicine, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut Emergency Radiology Springer Berlin Heidelberg 22/4(2015-08-01), 373-378 1070-3004 22:4<373 2015 22 10140 https://doi.org/10.1007/s10140-015-1295-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1295-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Carter Britton Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Griffith Brent Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Mossa-Basha Feras Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Zintsmaster Stephen Department of Radiology, William Beaumont Hospital, 3601 W. Thirteen Mile Road, 48073, Royal Oak, MI, USA aut NATIONALLICENCE 700 1- Patel Suresh Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Williams Todd Department of Radiology, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Patton Pat Department of Surgery, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Vallee Phyllis Department of Emergency Medicine, Henry Ford Health System, 2799 W Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/4(2015-08-01), 373-378 1070-3004 22:4<373 2015 22 10140