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lüll Trauma of the spine and spinal cord: imaging strategies Parizel PM; van der Zijden T; Gaudino S; Spaepen M; Voormolen MH; Venstermans C; De Belder F; van den Hauwe L; Van Goethem JEur Spine J 2010[Mar]; 19 Suppl 1 (Suppl 1): S8-17Traumatic injuries of the spine and spinal cord are common and potentially devastating lesions. We present a comprehensive overview of the classification of vertebral fractures, based on morphology (e.g., wedge, (bi)concave, or crush fractures) or on the mechanism of injury (flexion-compression, axial compression, flexion-distraction, or rotational fracture-dislocation lesions). The merits and limitations of different imaging techniques are discussed, including plain X-ray films, multi-detector computed tomography (MDCT), and magnetic resonance imaging (MRI) for the detection. There is growing evidence that state-of-the-art imaging techniques provide answers to some of the key questions in the management of patients with spine and spinal cord trauma: is the fracture stable or unstable? Is the fracture recent or old? Is the fracture benign or malignant? In summary, we show that high-quality radiological investigations are essential in the diagnosis and management of patients with spinal trauma.|Diagnostic Imaging/*methods/trends[MESH]|Humans[MESH]|Magnetic Resonance Imaging/methods/standards[MESH]|Prognosis[MESH]|Radiography/methods/standards[MESH]|Spinal Cord Injuries/classification/*diagnosis/physiopathology[MESH]|Spinal Fractures/classification/*diagnosis/physiopathology[MESH]|Spinal Injuries/classification/*diagnosis/physiopathology[MESH]|Tomography, X-Ray Computed/methods/standards[MESH]|Trauma Severity Indices[MESH]|Wounds and Injuries/classification/diagnosis/physiopathology[MESH] |