The aim of this exhibit is:
To describe specific MDCT findings in spinal trauma in patients with acute high-energy polytrauma that radiologist must search and reflect in reports;
To present clinical and epidemiological context of such clinical conditions;
To present our experience in studyingsuch patients from 2011 to 2014 in Regional Road Traffic Medical Center.
High-energy traumacan be arbitrarily divided into:
Collision between the patient and the external environment (the vehicle,
or a stationary object if the occupant has been ejected);
Acceleration or deceleration forces acting on the patient's internal organs.
Motor vehicle collisions.
In a frontal collision,
the occupant of a vehicle continues to move forward as the vehicle comes to an abrupt stop.
This forward motion stops when the patient delayed stationary elements of the vehicle interior (seat belts,
The initial impact point is...
Findings and procedure details
The presence of spinal injuries assessed in complex whole-body CT polytrauma protocol.
On 16-slice MDCT we use three phase protocol - 1 - head & neck,
3 - abdomen & pelvis (collimation 16x0.75 mm,
with pitch 1.0-1.2).
In our department,
this study takes an average of 5 minutes for scanning and 30 minutes for detailed conclusion byradiologist.
MDCT is the method of choice to evaluate spine injuries in high-energy polytrauma patients.
Plain X-rays has a much lower sensitivity and specificity.Using adequate MDCT scan protocols,
radiologist's knowledge of thekey points in the description such conditions allows in the shortest time provide orthopedic and neurosurgical care,
ultimately improve the quality and duration of apatient’s life,
significantly save money for the patient’s rehabilitation and social welfare.
Alexey Kokunin M.D.,
Yearof Birth: 1987.
Regional Diagnostic Center,
MRI Department (Nizhniy Novgorod,
Balakhna Central Regional Hospital,
E-mail to contact: [email protected]
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