Spinal Fracture, Spinal Injuries, Wounds and Injuries
Conditions
Brief summary
The main objective is to determine whether the realisation of an emergency spine MRI in addition to CT-scan( Computed Tomography) in patients with thoraco-lumbar spine injuries changes the therapeutic management.
Interventions
PROCEDUREClinical value of spine MRI in therapeutic management of patients admitted for thoraco-lumbar spine injuries, in addition to ct-scan.
Therapeutic possibilities include conservative, percutaneous and invasive (surgery) treatments. The aim of the study is to evaluate whether spine mri changes the therapeutic management.
Sponsors
Centre Hospitalier Universitaire de Nice
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged \> 18 years old admitted in the emergency department for a thoracolumbar spine trauma, who have undergone a ct scan and a mri of the spine.
Exclusion criteria
* Underlying pathology of the spine, AO spine A0 and AO spine C traumas, neurological symptoms or clinical examination not done for any reason.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in therapeutic management of thoraco-lumbar spine injuries | At the inclusion | The Bowker test will be used to analyze paired categorical data and determine whether there is symmetry between the rows and columns of a square table (3x3; before/after MRI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occult fractures | At the inclusion | Account of fractures only viewed with MRI, defined as T1 hyposignal and T2 STIR (short TI inversion recovery .hypersignal of a vertebral endplate. |
| Change in AO spine classification | At the inclusion | Comparison of CT scan and MRI AO spine classification of injuries. |
Countries
France
Outcome results
None listed