engleski

Computed tomography of the spine as an important diagnostic tool in the menagement of wae missile spinal trauma.

Twenty-two patients with spinal injury were evaluated by plain radiography immediately after hospital admission. In 14 patients whose condition was stable, we perfomed computed tomography (CT) scanning through the involved segments. To provide better planning before neurosurgical management, we divided the vertebral column in thirds. According to this division, we concluded that these injuries are mostly extensive, severely damaging all three thirds of the vertebral column and accompanying neural structures in the majority of cases. The information acquired by Ct concerning bony fragments, bone destruction, dural tear, spinal cord and nerve root compression, and neural damage directly influenced the surgical management. All patients except one underwent surgery while associated injuries of other organs were given priority in management. Injuries of the thoracic and the lumbar spine were given the most common ones, freguently found in association with lesions of nearby organs. Penetrating injuries with a dural lesion of nearby organs. Penetrating injuries with a dural lesion were present in the majority of cases, while spinal cord injury was obvious in some. The were all well visualized using spinal CT scaning. Our view is that the role of CT is essential in guiding surgical management of war missile injuries to the spine.

Adolescence; Adult; Child; Comparative Study; Croatia; Female; Human; Male; Middle Age; Multiple Trauma; Sensitivity ane Specificity; Spinal Cord Injuries; Spinal Injuries; Surgical Procedures; Operative; Survival Rate; Tomography; W-Ray Computed; War;

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