The relevant questions regarding screening of the acute blunt trauma patient for TLS injuries are as follows: Magnetic resonance imaging (MRI) also plays a role in screening and evaluating patients for neurologic injury, ligamentous injury, and the need for operative intervention.
#Transverse process fracture treatment software#
Modern computer software has the capability to reformat screening body CT scans without increased radiation, time, or cost. Historically, plain films were also ordered for TLS screening however, software reconstructed MDCT scans have become the universal screening modality in large-volume trauma centers. Often, blunt trauma patients that present acutely will undergo multidetector computed tomographic (MDCT) scans of the chest, abdomen, and pelvis to evaluate for injuries. Clinicians caring for acutely injured patients must rely on diagnostic techniques to be efficient and accurate so as to minimize the time to diagnosis and interventions. Neurologic injury to the spinal cord occurs in 19% to 50% of these patients, and a delay in diagnosis of TLS fractures can result in up to an eightfold increase in neurologic deficits. Approximately 50% of all vertebral fractures occur in the thoracolumbar spine (TLS), and the incidence of TLS fractures in trauma patients presenting to Level 1 trauma centers is 4% to 5%. Thoracic and lumbar spinal fractures are commonly encountered in blunt trauma patients. MD Holena, Daniel MD Joseph, Bellal MD Tyrie, Leslie MD Cotton, Bryan MD, MPH Author Informationįrom the Division of Acute Care Surgery (S.S., B.C.), Department of Trauma, University of Texas Health and Sciences, Houston, Texas Division of Surgery (S.S.), Department of Trauma, Cooper University Hospital, Camden, New Jersey Division of Trauma Surgery and Critical Care (A.D.F., L.T.), New JerseyMedical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey Department of Trauma, Critical Care & Acute Care Surgery (F.O.M.), Banner Healthcare System, Phoenix, Arizona Section of Trauma, Critical Care and Surgical Emergencies (M.F.D.), Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, Connecticut Department of Trauma (A.J.G.), Ocala Health System, University of South Florida,Gainesville, Florida Division of Traumatology, Surgical Critical Care, and Emergency Surgery (D.H.), University of Pennsylvania, Philadelphia, Pennsylvania and Division of Trauma, Critical Care, and Emergency Surgery (B.J.), Department of Surgery, University of Arizona, Tucson, Arizona.Īddress for reprints: Sherry Sixta, MD, Cooper University Hospital, Camden, NJ email: Statement of the Problem Exempt Purpose, Mission, Vision & Goals.Interviews with Research Scholarship & Award Recipients.Equity, Diversity, and Inclusion in Trauma Surgery Practice.Landmark Papers in Trauma and Acute Care Surgery.
0 kommentar(er)
