Online ISSN: 2515-8260

ROLE OF MULTI DETECTOR COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING IN SPINAL TRAUMA AT TERTIARY CARE CENTRE- AN OBSERVATIONAL STUDY.

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Dr. Pardhava varma Nandimanadalam, 2Dr Ragidi Raju, Dr. Sunil Kumar Pusthey, 3Dr Vikranthi Akaram, 4Dr.Mounica chityala

Abstract

The common causes of spinal trauma are blunt injuries -motor vehicle accidents, falls, diving accidents, sport injuries, assaults. Penetrating injuries like stab wounds or gunshot wounds are rare causes of spinal trauma. MRI is an excellent diagnostic modality for evaluation of spinal trauma. Our study is to evaluate the role of magnetic resonance imaging (MRI) and MDCT as a non-invasive diagnostic tool in patients with acute and chronic spinal trauma and to compare these findings with those of patients’ clinical profile . Restrospective observational study on clinically indicated 50 patients with a history of spinal injury and who had undergone MDCT and MR imaging of spine from 2019 to 2021 were included in study after informed consent. The study group consisted of 38 male patients and 12 female patients. The group included was from 14years - 85 years. INCLUSION CRITERIA: 1.Patients with history of SPINAL TRAUMA and those presented with pain, instability caused by mechanical stress and autonomic dysfunction, referred to radiology department of OSMANIA GENERAL HOSPITAL. EXCLUSIO N CRITERIA: Patients with claustrophobia, pregnant women, patients with spinal tumours, patients with spinal infections. MDCT was performed on Hitachi scenaria 128 slice CT in both soft tissue and bone algorithms without contrast administration Results are analyzed under SPSS Software showing dorsal spine was the most commonly involved (in 38% of the cases); RTA(68%) was the most common causes of spinal injury followed by fall from a height (20%). Most common skeletal injury in cervical spine was posterior elements fracture (44%); wedge compression (31%) and burst fracture (31%) in dorsal spine and burst fracture (48%) in lumbar spine.

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