Academic Journal

C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol

التفاصيل البيبلوغرافية
العنوان: C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol
المؤلفون: Squarza, Silvia, Uggetti, Carla Luisa, Politi, Marco Angelo, Pescatori, Lorenzo Carlo, Bisogno, Raffaele, Campi, Adriana, Reganati, Paolo, Cariati, Maurizio
المصدر: Radiologia Brasileira. February 2019 52(1)
بيانات النشر: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, 2019.
سنة النشر: 2019
مصطلحات موضوعية: Craniocerebral trauma, Aged, Aged, 80 and over, Spinal injuries/diagnosis, Cervical vertebrae/injuries, Tomography, X-ray computed.
الوصف: Objective: To evaluate the frequency and types of upper cervical spine injuries in asymptomatic elderly patients undergoing computed tomography (CT) for the investigation of minor head trauma. Materials and Methods: This was a prospective study of 2613 asymptomatic elderly patients with minor head trauma seen between January 2015 and December 2016. We adopted a dedicated head CT protocol that included the C1-C2 region. Results: Of the 2613 patients analyzed, 33 (1.26%) had upper cervical spine injuries, corresponding to 8.37% of the 394 patients with trauma-related findings. Of those 33 patients, 6 had C1 fractures and 27 had C2 fractures. The use of 16- and 128-slice scanners increased the CT dose by 25.0% and 23.7%, respectively. Conclusion: Inclusion of the C1-C2 region in head CT scans allowed us to identify upper cervical spine injuries in 1.26% of asymptomatic elderly patients with minor head trauma. The protocol evaluated helps detect potentially life-threatening injuries and could be adopted for routine use in elderly individuals with minor head trauma.
نوع الوثيقة: article
وصف الملف: text/html
اللغة: English
تدمد: 0100-3984
DOI: 10.1590/0100-3984.2017.0154
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842019000100017
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edssci.S0100.39842019000100017
قاعدة البيانات: SciELO
الوصف
تدمد:01003984
DOI:10.1590/0100-3984.2017.0154