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Indications For Obtaining Surveillance Thoracic And Lumbar Spine Radiographs by Heidi L. Frankel; Grace S. Rozycki; M. Gage Ochsner; J. Duncan Harviel; Howard R. Champion is a Medicine article available to read on EtoBox.

What is Indications For Obtaining Surveillance Thoracic And Lumbar Spine Radiographs about?

The purpose of this study was to identify risk factors for thoracic/lumbar spine fractures in patients with blunt injuries and subsequently establish indications for obtaining surveillance thoracolumbar radiographs. Retrospective review of all patients with blunt injuries (n = 1485) admitted in 1992 to a level I trauma center with a discharge diagnosis of thoracolumbar spine fracture established entrance criteria for a 4-month prospective study. Relative risk of fracture (RR) was calculated. Retrospective. Seventy-six percent (176 of 233) had radiographs; 21% had fractures; one diagnosed late. Prospective. One hundred percent (167 of 167) had radiographs; 9% (15 of 167) had fractures; none diagnosed late or missed. Forty percent (26 of 65) of patients with fractures had no pain or tenderness; 35% (9) required surgical spinal fixation. Our data define these indications for obtaining thoracolumbar radiographs in patients with blunt injuries: back pain (RR1), fall > or = 10 feet, ejection from motorcycle/motor vehicle crash > or = 50 mph, GCS score < or = 8, (all RR2), and neurologic deficit (RR10). The sensitivity of our surveillance radiography protocol has increased to 100%. The ab

Who reads Indications For Obtaining Surveillance Thoracic And Lumbar Spine Radiographs?

Author

Heidi L. Frankel; Grace S. Rozycki; M. Gage Ochsner; J. Duncan Harviel; Howard R. Champion

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

1994

Language

EN

Field

Medicine (Health Sciences)