• Mary-Margaret Brandt, Wendy L Wahl, Kristen Yeom, Ella Kazerooni, and Stewart C Wang.
• Divisions of Trauma, Burn and Emergency Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA. mmbrandt@med.umich.edu
• J Trauma. 2004 May 1;56(5):1022-6; discussion 1026-8.

BackgroundWe hypothesize that data collected from computed tomographic (CT) scans obtained for workup of chest or abdominal injuries provide data that are sufficient to screen for spinal fractures and will decrease the cost and time of spine evaluation after trauma.MethodsWe reviewed plain radiographs from 55 selected trauma patients who also underwent CT scanning of the chest, abdomen, and pelvis. We also timed the radiologic workup of 50 consecutive trauma patients to determine the time required to complete radiographic spine evaluation.ResultsForty-seven patients had thoracolumbar fractures. Thirteen patients were found to have 33 thoracolumbar spine fractures identified by CT scan but not plain radiography. Fractures were found on initial trauma CT scans of the chest, abdomen, and pelvis obtained to evaluate for visceral injuries. No injuries seen on plain film were missed on CT scan.ConclusionWe recommend using the data acquired from CT scans to evaluate the spine, supplementing them with additional studies only when needed for further clarification.

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