T spine Flashcards
How do you name scoliosis?
named for the convexity
What is rigid scoliosis?
- Patient lateral flexes and scoliosis does not change
- If the pt laterally flexes and the scoliosis changes or goes back to normal than the cause is something else like muscle imbalance
Some criteria for t-spine imaging
- tenderness/pain/+ physical exam
- signs of injury
- neuro signs
- GCS < 15 (highest score is 15)
- major distracting injury
- intoxication
- cervical spine fracture
- age > 60
Suspected spine trauma - adult w/ blunt trauma meeting criteria for imaging
CT scan
- x-rays are not sensitive enough for the subtle fractures that may occur in thoracic spine, initial imaging
Suspected Spine Trauma - adult w/ acute thoracic or lumbar spine injury detected on x-ray, neuro abnormalities, next imaging study
MRI
Suspected spine trauma - child, suspected thoracolumbar spine trauma, initial imaging
radiography
- Don’t want to expose kids straight away to high levels of radiation like a CT scan
Rib fracture - suspected rib fracture from minor blunt trauma, initial imaging
radiography
- not a great sensitivity for x rays to find rib fractures
thoracic outlet syndrome - neuro TOS, inital imaging and follow-up imaging after surgery or intervention
MRI
radiography
thoracic outlet syndrome - arterial TOS, initial imaging and follow up imaging after surgery or intervention
- CT angiography (CTA)
- MR angiography (MRA)
- radiography
- Doppler subclavian artery and vein
- arteriography UE
scoliosis - child w/ congenital scoliosis, initial imaging
- x-ray complete spine
- MRI complete spine
scoliosis - child (0-9) w/ early onset idiopathic scoliosis, initial imaging
x- ray complete spine
MRI complete spine
management of vertebral compression fractures - new back pain, previously treated vertebral compression fracture or multiple vertebral compression fractures, initial imaging
- CT
- MRI
