SynthesisThe Journal of emergency medicine2019
Blunt Thoracolumbar-Spine Trauma Evaluation in the Emergency Department: A Meta-Analysis of Diagnostic Accuracy for History, Physical Examination, and Imaging.
Synthesis in The Journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 37 citations in OpenAlex.
- Pain has limited predictive value for fractures following falls in older people: insight from a retrospective study.BMC emergency medicine · 2026Article
- Rationalizing whole-body computed tomography in trauma: A national audit on resource utilization and strategies to minimize radiation exposure.World journal of radiology · 2026Article
- Clinical Recommendations for the Acute Care of Patients With Traumatic Spinal Cord Injury.Deutsches Arzteblatt international · 2025Review
- Timing of Spinal Surgery in Polytrauma: The Relevance of Injury Severity, Injury Level and Associated Injuries.Global spine journal · 2025Article
- Physical modulation of mesenchymal stem cell exosomes: A new perspective for regenerative medicine.Cell proliferation · 2024Review
- Multidisciplinary and Coordinated Management of Osteoporotic Vertebral Compression Fractures: Current State of the Art.Journal of clinical medicine · 2024Review
- Deep learning-driven diagnosis of multi-type vertebra diseases based on computed tomography images.Quantitative imaging in medicine and surgery · 2024Article
- Diagnostic Value of Hounsfield Units for Osteoporotic Thoracolumbar Vertebral Non-Compression Fractures in Elderly Patients with Low-Energy Injuries.International journal of general medicine · 2024Article
- Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers.PloS one · 2023Article
- Artificial Intelligence Accurately Detects Traumatic Thoracolumbar Fractures on Sagittal Radiographs.Medicina (Kaunas, Lithuania) · 2022Article
- Patients with combined pelvic and spinal injuries have worse clinical and operative outcomes than patients with isolated pelvic injuries analysis of the German Pelvic Registry.BMC musculoskeletal disorders · 2022Article
- Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics.Journal of clinical medicine · 2021Article
- Posterior Ligamentous Complex Injuries of the Thoracolumbar Spine: Importance and Surgical Implications.Cureus · 2021Review
- Yield of whole-body computed tomography at a low-volume emergency department: A 5-year experience.Saudi medical journal · 2021Observational
- Article
- Prevalence of Fractures and Diagnostic Accuracy of Emergency X-ray in Older Adults Sustaining a Low-Energy Fall: A Retrospective Study.Journal of clinical medicine · 2019Article
- Diagnostic Clinical Tool in Trauma Patients to Rule out Thoracolumbar Fracture.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDelayed diagnoses of unstable thoracolumbar spine (TL-spine) fractures can result in neurologic deficits and avoidable pain, so it is important for clinicians to reach prompt diagnostic decisions. There are no validated decision aids for determining which trauma patients warrant TL-spine imaging.
objectiveOur aim was to quantify the diagnostic accuracy of the injury mechanism, physical examination, associated injuries, clinical decision aids, and imaging for evaluating blunt TL-spine trauma patients.
methodsA search strategy for studies including adult blunt TL-spine trauma using PubMed, Embase, Scopus, CENTRAL, Cochrane Database of Systematic Reviews, and ClinicalTrials.gov was performed. Excluded studies lacked data to construct 2 × 2 tables, were duplicates, were not primary research, did not focus on blunt trauma, examined associated injuries without any utility in identifying TL-spine injuries, only studied cervical-spine fractures, were non-English, had a pediatric setting, or were cadaver/autopsy reports. Risk of bias was assessed using the Quality Assessment Tool for Diagnostic Accuracy Studies. Diagnostic predictors were analyzed with a meta-analysis of sensitivity, specificity, and likelihood ratios.
resultsIn blunt trauma patients in the emergency department, the weighted pretest probability of a TL-spine fracture was 15%. The estimates for detection of TL-spine fractures with plain film were: positive likelihood ratio (+LR) = 25.0 (95% confidence interval [CI] 4.1-152.2; I
conclusionsCT is more accurate than plain films for detecting TL-spine fractures. Injury mechanism, physical examination, and associated injuries alone are not accurate to rule-in or rule-out TL-spine fractures.
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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.