![]() This can be coupled with a CT angiogram (see below) for evaluation of the vascular anatomy.Įvaluation with MRI is important for analyzing the ligamentous construct, disc space, spinal cord, nerve roots, and other soft tissue injuries. Non-contrast CT scan is adequate for evaluation of the bony anatomy for fracture. ![]() It is important to recognize the importance that complete imaging will require dedicated thin-cut CT reconstructions. CT scan does not directly evaluate the spinal cord, soft tissue, or ligamentous construct. Even if plain films are negative and clinical suspicion is high, a CT scan is warranted. X-rays are an excellent modality for determining alignment during the immediate injury, post-operative period, as well as long-term follow-up.ĬT scan is the most important modality for determining fracture etiology and ruling out an injury regarding a C2 fracture. Approximately 93% of cervical spine injuries are apparent with combined, lateral, AP, and odontoid view radiographs. Lateral, anteroposterior (AP), and open mouth odontoid views are necessary. This is essential in reviewing cervical spine trauma. Care must be taken to ensure proper radiographic imaging creates a picture from the occiput to the C7 through T1 disc space. Normalized hemoglobin, hematocrit, coagulation profile with prothrombin time (PT), partial thromboplastin time (PTT), and platelet counts will be needed for operative intervention.Įvaluation of x-rays will provide limited but important information. Laboratory tests should be ordered as an adjunct in overall medical status.
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