CT Scan in Subaxial Cervical Facet Injury: Is It Enough for Decision-Making?

Simple item page
dc.contributor.authorCabrera, Juan
dc.contributor.authorYurac, Ratko
dc.contributor.authorJoaquim, Andrei
dc.contributor.authorGuiroy, Alfredo
dc.contributor.authorCarazzo, Charles
dc.contributor.authorZamorano, Juan
dc.contributor.authorValacco, Marcelo
dc.contributor.authorAnd the AO Spine Latin America Trauma Study Group
dc.date.accessioned2022-04-06T19:51:30Z
dc.date.available2022-04-06T19:51:30Z
dc.date.issued2021
dc.description.abstractObjectives: Assessment of subaxial cervical facet injuries using the AO Spine Subaxial Cervical Spine Injury Classification System is based on CT scan findings. However, additional radiological evaluations are not directly considered. The aim of this study is to determine situations in which spine surgeons request additional radiological exams after a facet fracture. Methods: A survey was sent to AO Spine members from Latin America. The evaluation considered demographic variables, routine use of the Classification, as well as the timepoint at which surgeons requested a cervical MRI, a vascular study, and/ or dynamic radiographs before treatment of facet fractures. Results: There was 229 participants, mean age 42.9 ± 10.2 years; 93.4% were men. Orthopedic surgeons 57.6% with 10.7 ± 8.7 years of experience in spine surgery. A total of 86% used the Classification in daily practice. An additional study (MRI/vascular study/and dynamic radiographs) was requested in 53.3%/9.6%/43.7% in F1 facet injuries; 76.0%/20.1%/50.2% in F2; 89.1%/65.1%/28.4% in F3; and 94.8%/66.4%/16.6% in F4. An additional study was frequently required: F1 72.5%, F2 86.9%, F3 94.7%, and F4 96.1%. Conclusions: Spine surgeons generally requested additional radiological evaluations in facet injuries, and MRI was the most common. Dynamic radiographs had a higher prevalence for F1/F2 fractures; vascular studies were more common for F3/F4 especially among surgeons with fewer years of experience. Private hospitals had a lower spine trauma cases/year and requested more MRI and more dynamic radiographs in F1/F2. Neurosurgeons had more vascular studies and dynamic radiographs than orthopedic surgeons in all facet fractures.es
dc.description.versionVersión publicadaes
dc.identifier.citationCabrera JP, Yurac R, Joaquim AF, Guiroy A, Carazzo CA, Zamorano JJ, Valacco M; AO Spine Latin America Trauma Study Group. CT Scan in Subaxial Cervical Facet Injury: Is It Enough for Decision-Making? Global Spine J. 2021 Mar 17:2192568221995491. doi: 10.1177/2192568221995491es
dc.identifier.urihttps://doi.org/10.1177/2192568221995491es
dc.identifier.urihttp://hdl.handle.net/11447/5950
dc.language.isoenes
dc.subjectSpinal injurieses
dc.subjectMagnetic resonance imaginges
dc.subjectTomographyes
dc.subjectRadiographyes
dc.subjectFacet jointes
dc.subjectSpinees
dc.subjectVertebral arteryes
dc.titleCT Scan in Subaxial Cervical Facet Injury: Is It Enough for Decision-Making?es
dc.typeArticlees
dcterms.sourceGlobal spine journales

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
CT Scan in Subaxial Cervical Facet Injury.pdf
Size:
252.97 KB
Format:
Adobe Portable Document Format
Description:
Texto completo
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services