RSNA 2012 

Abstract Archives of the RSNA, 2012


LL-ERE-WE4A

Thoracolumbar Spine Trauma: What the Surgeon Wants to Know

Education Exhibits

Presented on November 28, 2012
Presented as part of LL-ERE-WE: Emergency Radiology Lunch Hour CME Exhibits

Participants

Benjamin Fine MD, MS, Presenter: Nothing to Disclose
Andrea Donovan MD, Abstract Co-Author: Nothing to Disclose
Christina Chingkoe MD, Abstract Co-Author: Nothing to Disclose
Jason Ian Blaichman MD, Abstract Co-Author: Nothing to Disclose
Monique S. Christakis MD, Abstract Co-Author: Nothing to Disclose
Linda Jean Probyn MD, Abstract Co-Author: Nothing to Disclose
Chris Chinthaka Heyn, Abstract Co-Author: Nothing to Disclose

PURPOSE/AIM

1. To review evolving classification systems for thoracolumbar spine trauma. 2. To discuss the imaging appearance (radiographs, CT, MRI) of thoracolumbar spine trauma . 3. To review findings that allow radiologists assess thoracolumbar spine injury severity and help guide surgical management.  

CONTENT ORGANIZATION

Major classification systems of thoracolumbar spine trauma (Denis, AO, TLICS) Imaging findings of the major morphologies in thoracolumbar trauma Compression/Burst Translation/Rotation Distraction (flexion/extension) Imaging of posterior ligamentous complex injuries on CT and MR Predisposing conditions to thoracolumbar spine trauma (osteoporosis, ankylosing spondylitis, DISH) Complications (epidural hematoma, cord hemorrhage and edema) Operative versus non-operative management  

SUMMARY

The major teaching points of this exhibit are: 1. Thoracolumbar spine trauma classification based on morphology helps guide operative and non-operative management. 2. Integrity of the posterior ligament complex is essential for stability and is best assessed by CT and MR 3. Radiologists should assess for spinal cord complications such as epidural hematoma on CT and MRI and cord hemorrhage and edema on MRI  

Cite This Abstract

Fine, B, Donovan, A, Chingkoe, C, Blaichman, J, Christakis, M, Probyn, L, Heyn, C, Thoracolumbar Spine Trauma: What the Surgeon Wants to Know.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12023373.html