ArticleAJNR. American journal of neuroradiology2016
MR Imaging of the Cervical Spine in Nonaccidental Trauma: A Tertiary Institution Experience.
Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Triage tools for detecting cervical spine injury in paediatric trauma patients.The Cochrane database of systematic reviews · 2024Pooled it
- Variations in Guidelines for Diagnosis of Child Physical Abuse in High-Income Countries: A Systematic Review.JAMA network open · 2021Pooled it
- Pediatric abusive spine trauma: a review of whole-spine imaging essentials.Pediatric radiology · 2026Review
- Spinal cord injury in abusive and accidental head injury in children, a neuropathological investigation.International journal of legal medicine · 2025Article
- Abusive spinal injury: imaging and updates.Pediatric radiology · 2024Review
- Emergency MRI in Spine Trauma of Children and Adolescents-A Pictorial Review.Children (Basel, Switzerland) · 2023Review
- Diagnosis of Abusive Head Trauma : Neurosurgical Perspective.Journal of Korean Neurosurgical Society · 2022Article
- An In-Depth Analysis of Brain and Spine Neuroimaging in Children with Abusive Head Trauma: Beyond the Classic Imaging Findings.AJNR. American journal of neuroradiology · 2022Article
- Spinal cord injury as an indicator of abuse in forensic assessment of abusive head trauma (AHT).International journal of legal medicine · 2021Review
- Spinal ligamentous injury in abusive head trauma: a pictorial review.Pediatric radiology · 2021Review
- The clinical utility of proton magnetic resonance spectroscopy in traumatic brain injury: recommendations from the ENIGMA MRS working group.Brain imaging and behavior · 2021Article
- Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma.Pediatric radiology · 2020Article
- Regarding "MR Imaging of the Cervical Spine in Nonaccidental Trauma: A Tertiary Institution Experience".AJNR. American journal of neuroradiology · 2017Article
- Non-accidental trauma: the role of radiology.Emergency radiology · 2017Review
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeCervical MR imaging has demonstrated a utility for detecting soft tissue injury in nonaccidental trauma. The purpose of this study was to identify the incidence and types of cervical spine injury on MR imaging in nonaccidental trauma and to correlate cervical spine injury with parenchymal injury on brain MR imaging and findings on head CT. MATERIALS AND
methodsA retrospective review of children diagnosed with nonaccidental trauma in a tertiary referral pediatric hospital over 8 years was performed. Inclusion criteria were children younger than 5 years of age, a confirmed diagnosis of nonaccidental trauma, and cervical spine MR imaging within 1 week of presentation. Brain and cervical spine MR imaging, head CT, cervical radiographs, and skeletal surveys were reviewed.
resultsThere were 89 patients included in this study (48 males; mean age, 9.1 months [range, 1-59 months]). Cervical spine injury on MR imaging was found in 61 patients (69%). Ligamentous injury was seen in 60 patients (67%), with interspinous ligaments being most commonly involved. Abnormal capsular fluid (atlanto-occipital and atlantoaxial) was present in 28 patients (32%). Cervical spine injury on MR imaging was significantly associated with parenchymal restricted diffusion on brain MR imaging and parenchymal injury on head CT (
conclusionsThere is a high incidence of cervical spine injury in pediatric nonaccidental trauma. Positive findings may affect management and suggest a traumatic etiology.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.