ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2013
A retrospective comparison of CT and MRI in detecting pediatric cervical spine injury.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Triage tools for detecting cervical spine injury in paediatric trauma patients.The Cochrane database of systematic reviews · 2024Pooled it
- Triage tools for detecting cervical spine injury in pediatric trauma patients.The Cochrane database of systematic reviews · 2017Pooled it
- Cervical spine clearance in pediatric trauma patients - Consensus algorithm of the Pediatric Spinal Trauma Group of the Spine Section of the German Society for Orthopedic and Trauma Surgery (DGOU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Clinical outcome following magnetic resonance imaging as first-line imaging in low-impact pediatric spine trauma: a single-center retrospective observational study.Pediatric radiology · 2023Observational
- Emergency MRI in Spine Trauma of Children and Adolescents-A Pictorial Review.Children (Basel, Switzerland) · 2023Review
- The progression of the vertebral body bruise associated with a spinal fracture.BMC musculoskeletal disorders · 2022Article
- Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations.Neurospine · 2020Article
- Epidemiology of vertebral fractures in pediatric and adolescent patients.Pediatric reports · 2018Article
- Utility of plain radiographs and MRI in cervical spine clearance in symptomatic non-obtunded pediatric patients without high-impact trauma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017Article
- Spinal injuries in abusive head trauma: patterns and recommendations.Pediatric radiology · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough clinical criteria have been applied in the assessment of pediatric cervical spine trauma, no consensus has been established when imaging is required. With the increasing prevalence of computed tomography (CT) use in pediatric trauma and the concern for radiation in children, we sought to evaluate magnetic resonance imaging (MRI) and CT in detecting pediatric cervical spine injuries.
methodsWe retrospectively queried a pediatric trauma database and identified pediatric patients who underwent both CT and MRI studies of the cervical spine and derived the statistical measures of each imaging modality to detect osseous and ligamentous/soft tissue injury.
resultsEighty-four patients were identified with a mean age of 9.0 ± 5.8 years (56% male). Sixteen patients were identified with injury, 12 with soft tissue abnormalities on MRI (nine edema and six ligamentous), and 6 with osseous abnormalities on CTs (six osseous fractures and one discogenic injury). Of the six patients who presented with CT-identified osseous injuries, MRI detected all six fractures as well as an additional compression fracture.
conclusionUsing CT as the standard for osseous injury, MRI had a sensitivity of 100%, specificity of 97%, negative predictive value (NPV) of 75%, and positive predictive value (PPV) of 100%. Using MRI as the standard for soft tissue injury, CT had a sensitivity of 23%, specificity of 100%, NPV of 88%, and PPV of 100%. Further studies are required to investigate the use of MRI to detect osseous injuries.
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