-transparent.png){kind=logo}
Spinal injury in poly trauma patients is serious problem, because they cause high mortality and morbidity. According to WHO statistics, there are registered 30 million cases of spinal injuries annually, 50% of them die before reaching the hospital. In last 5 years incidence of spinal traumas has increased 2.6 fold and is about one third of all spinal diseases. That is why spinal injuries remain a challenge. The purpose of our study is to assess diagnostic efficiency of multislice spiral CT in diagnosis of spinal injuries in poly trauma patients. We randomly assessed data from 200 poly trauma patients, who underwent multislice spiral CT in poly trauma mode. In 92 (46%) patients different types of spinal fractures and injuries were detected. Age distribution was 16-72 (mean age 52 years). Out of 92 patients, 9 (4.5%) had isolated trauma, 83 (41.5%) had multiple trauma. Solitary injury of spinal column was detected in 30 (32.6%) patients, 54 (58.6%) had combined spinal injuries. In spinal injury patients the most common trauma mechanism was MVC - 56 patients (60.86%), fall from height 27 (29.36%) patients, diving 5 (5.43%) patients, gun shot wound 3 (3.26%) patients, industrial injury 1 (1.08%) patients. The most common location of the injury was lumbar vertebra (55 patients), thoracic vertebra (39 patients), cervical vertebra (28 patients). After assessing MDCT and MRI results 37 patients were operated, 6 of them underwent surgical intervention urgently, 31 had delayed surgery, that was performed after treating other life threatening injuries. Indications for surgical intervention were spinal cord compression and non stable vertebral fractures. According to our study results, MDCT is the study of choice for the diagnosis of spinal injuries in poly trauma patients. It helps to detect type and extension of the bony injury and visualize fragments in the spinal canal. It is superior to other radiological studies. 3D, MIP and MPR reconstruction gives information about spatial location of the fracture and helps to timely plan correct management.
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
January 2010,
Vestnik rentgenologii i radiologii,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
November 2011,
Georgian medical news,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
January 2013,
Vestnik rentgenologii i radiologii,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
January 2000,
IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
January 2018,
Journal of cancer research and therapeutics,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
August 2001,
Circulation,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
August 2001,
Lancet (London, England),
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
October 2002,
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
July 2020,
Chinese medical journal,
G Nemsadze, and
E Lapiashvili, and
O Urushadze, and
G Gotsadze
January 2009,
F1000 medicine reports,
