The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine. Morishita Y, Naito M, Hymanson H, Miyazaki M, Wu G, Wang JC. The prevalence of incidental findings on abdominal computed tomography scans of trauma patients. 2011.Įkeh AP, Walusimbi M, Brigham E, Woods RJ, McCarthy MC. Incidental findings on routine thoracoabdominal computed tomography in blunt trauma patients. Incidental findings in brain computed tomography scans of 3000 head trauma patients. Prevalence of incidental findings in trauma patients detected by computed tomography imaging. Aortic calcification as a predictor of cardiovascular mortality. Witteman JC, Kok FJ, van Saase JL, Valkenburg HA. The developmental segmental sagittal diameter of the cervical spinal canal in patients with cervical spondylosis. The normal and pathologic anatomy of the sella turcica as revealed at necropsy. Cervical spine clearance in blunt trauma: evaluation of a computed tomography-based protocol. Sanchez B, Waxman K, Jones T, Conner S, Chung R, Becerra S. Incidental findings in the cervical spine at CT for trauma evaluation. Erratum in N Engl J Med 2001 344:464.īarboza R, Fox JH, Shaffer LE, Opalek JM, Farooki S. National Emergency X-Radiography Utilization Study Group. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Assessment of neck pain and its associated disorders: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Nordin M, Carragee EJ, Hogg-Johnson S, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining “whiplash” and its management. The burden and determinants of neck pain in whiplash-associated disorders after traffic collisions: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Awareness of the prevalence of incidental findings is important in order to ensure that they are detected and managed appropriately.īarnsley L, Lord S, Bogduk N. Incidental findings in the cervical spine were associated with older age. Older age was found to be a risk factor for an incidental finding ( p < 0.0001). Other findings were enlarged sella turcica (0.6 %), carotid atherosclerosis (0.3 %), and calcification of the stylomastoid ligament (0.3 %). Stenosis with disk narrowing was the most common finding (2.8 %), followed by congenital anomaly of the cervical spine (2.2 %). We identified incidental X-ray findings in 22 of the 356 patients (6.2 %) who underwent X-ray of the cervical spine during their visit to the ER. The findings were reviewed and classified. The examinations were reviewed by five staff radiologists for incidental findings. This left 356 X-rays that met the inclusion criteria, which were analyzed for incidental findings. X-rays that were technically insufficient were excluded. We retrospectively reviewed 521 consecutive cervical X-rays of patients with a whiplash injury that visited our ER from February to July 2010. We sought to determine the incidence of those findings. The quantity of incidental atraumatic findings in this very prevalent examination is unknown. Those X-rays are reviewed by orthopedic specialists in the emergency room (ER) for traumatic findings. Post-mortem before an autopsy in cases of suspected sudden infant death syndrome (SIDS) to exclude traumatic skeletal injury or skeletal abnormalities indicative of an underlying naturally occurring diseaseĬomputed bone maturity (bone age) assessmentĬomputed bone maturity (bone age) measurement are performed in cases of suspected growth delay or early pubertal development:Ĭomputed tomography scanogram for leg length discrepancy assessmentĬomputed tomography scanogram for leg length discrepancy assessment is performed in patients (children in most of the cases) with suspected inequality in leg length.About 800,000 cervical X-rays for trauma are taken every year in the USA. Suspected non-accidental pediatric skeletal injury Skeletal surveys are performed in cases of: Hip : figure 1 example normal-pediatric- hip-ultrasound-graf-type-i Posterior nasal space x-ray: example neededġ2-year old: example 1 (with Rosenberg view) 4-year-old: example 1 with a frog leg viewġ4-year-old: example 1 with frog leg viewĢ-year-old: example 1 (with reconstruction)ģ-year-old: example 1 (with bone windows and 3D recon)ħ-year-old: example 1 (with bone windows)
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