Imaging suspected cervical spine injury: plain radiography or computed tomography? Systematic review

Cain, Gavin and Shepherdson, Jane and Elliott, Vicki and Svensson, Jon and Brennan, Patrick (2010) Imaging suspected cervical spine injury: plain radiography or computed tomography? Systematic review. Radiography. ISSN 1078-8174

Full text not available from this repository.

Abstract

Aim: (1) to establish which modality offers the greatest accuracy in the detection of cervical spine injury (CSI) Following trauma: plain radiography or computed tomography (CT), and (2) make an evidence-based recommendation for the initial imaging modality of choice. Method: A systematic literature review was performed to identify primary research studies which compare the diagnostic accuracy of plain radiography and CT with the results of a reference standard in the detection of CSI. A search of MEDLINE, EMBASE, CINAHL, Science Direct and Pubmed Central databases was conducted. Results: Ten studies were identified. Critical appraisal identified limitations among all studies. There was heterogeneity in the sensitivity estimates for plain radiography, whereas estimates for CT were consistently high. Examination of the reported sensitivities shows that CT outperforms plain radiography in the detection of CSI. Conclusion: CT is superior to plain radiography in the detection of CSI. However, the optimal imaging strategy depends on the patients’ relative risk of injury. If at high-risk cervical CT is indicated. If at low-risk the increased cost and radiation exposure

Item Type: Journal Article
Additional Information: Citation: Cain, G., Shepherdson, J., Elliott, V., Svensson, J. and Brennan, P., 2010. Imaging suspected cervical spine injury: plain radiography or computed tomography? Systematic review. Radiography, 16(1), pp.68-77..
Faculty: Faculty of Health and Social Care (for research published prior to September 2011)
Depositing User: Mr I Walker
Date Deposited: 20 Sep 2011 13:48
Last Modified: 07 Jul 2016 12:49
URI: http://arro.anglia.ac.uk/id/eprint/142750

Actions (login required)

Edit Item Edit Item