Pediatric Spinal Imaging Using Tools Wisely

Joshua K Dodderer

doi:10.1016/j.emc.2025.06.011

2025-10-01

PRE

Joshua K Dodderer

Janine Amirault

Joyce Li *

DOI：10.1016/j.emc.2025.06.011

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儿童脊柱损伤相对罕见，但可能导致显著的发病率和死亡率。然而，这一点必须与儿童中增加的辐射风险相权衡。详细的病史询问和体格检查对于风险分层并选择最佳影像学方法以发现严重损伤是必要的。对于儿童脊柱损伤（CSI），2024年PECARN指南提供了关于哪些患者应接受初始X射线检查或CT检查的临床指导原则。尽管关于胸腰段影像学的研究较少，但大多数儿童根据损伤机制和临床检查可能不需要影像学检查，或可从X射线检查开始。需要进一步的研究来阐明：(1) 应用PECARN指南是否会减少儿童的辐射暴露，以及是否需要根据年龄进一步细化，(2) 制定儿童胸腰段损伤的临床影像学指南。

Keyword:

Pediatric

Spinal trauma

Imaging

Cervical

Thoracolumbar

期刊

Emergency Medicine Clinics of North America

IF:

1.4

论文数:

被引数:

1.9K

机构

harvard university

学者数:

2.5K

论文数: 1.0K

被引数: 1

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