ArticleEmergency radiology2019
The utility of whole spine survey MRI in blunt trauma patients sustaining single level or contiguous spinal fractures.
Article in Emergency radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 12 citations in OpenAlex.
- Growing Utilization of Total Spine MRI Relative to Localized Spine MRI for Patients Presenting Through Emergency Departments Over the Past Decade.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- From Detection to Decision: How STIR Sequence MRI Influences Treatment Strategies for Osteoporotic Vertebral Fractures.Journal of clinical medicine · 2024Article
- Increased incidence of vertebral fractures in German adults from 2009 to 2019 and the analysis of secondary diagnoses, treatment, costs, and in-hospital mortality.Scientific reports · 2023Article
- Dual-Energy Computed Tomography in Spine Fractures: A Systematic Review and Meta-Analysis.International journal of spine surgery · 2021Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the utility of obtaining whole-spine survey MRI after a whole-spine CT diagnoses single level or contiguous fractures.
methodsA retrospective search from 2015 to 2017 was performed using an institutional PACS database for consecutive patients who sustained spinal fractures from blunt injury. Only patients who received whole-spine CT followed by whole-spine MRI were included in the study. All cases had sagittal T2-weighted and Short TI (Tau) inversion recovery (STIR) imaging of the entire spine with additional T1 and T2-weighted axial imaging covering the known injury. Reports from the whole-spine CTs were compared to the reports of the whole-spine MRI to determine if additional bony and soft tissue injury were identified on subsequent MRI.
resultsA total of 156 patients met the inclusion criteria, with an average age of 59.5 ± 20.6 years. Twenty-nine patients (18.5%) had a whole-spine MRI that demonstrated an additional bony ± soft tissue injury. A 95.1% of the additional injuries were osseous contusions or vertebral body compression fractures without significant loss of height. The distance between the original injury on CT and the additional injury on MR ranged from 1 to 13 vertebrae. A 82.8% of the additional injuries occurred within 1 to 8 vertebrae levels of the primary injury and most commonly in the thoracic spine.
conclusionsMost additional bony injuries detected on MRI are bone contusions and mild compression fractures, which are unlikely to alter management. However, if screening MRI is performed for additional bony injuries, we posit that a targeted regional spinal MRI is adequate.
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