Keywords:
Trauma, Paediatric, CT, MR, Conventional radiography, Diagnostic procedure
Authors:
J. B. Davies, R. Berkeley, D. Pefanis, W. Tilden, R. Wheeler, S. G. Cross; London/UK
Methods and Materials
We performed a retrospective study of all patients presenting to the largest NHS trust in the UK between October 2008 and January 2017.
We searched the radiology PACS database for all patients who underwent imaging of the cervical spine with X-ray,
Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) within 12 hours of admission for suspected c-spine injury following blunt trauma.
Only patients under the age of 10 at the time of imaging were included.
Radiology reports were reviewed for all patients and imaging for those with suspected or confirmed CSI was reviewed by a consultant MSK Radiologist to confirm the findings.
Once identified from the PACS database,
clinical data relating to mechanism of injury and clinical signs and symptoms at admission were obtained from electronic and paper notes for cases of imaging confirmed CSI.
We arbitrarily defined high energy trauma as falling from 1 storey or more,
or motor vehicle accident at greater than 30 miles per hour.