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Journal of Trauma and Injury 2012;25(4):241-246.
The Adequacy of a Cross Table Lateral Cervical X-ray in Severely Traumatized Korean Patients
Kyung Hag Lee, Yeong Cheol Kim, Seok Ho Choi, Gook Nam Han, Soo Un Lee, Jung Eun Lee, Gil Joon Suh, Yeo Kyu Yoon
1Trauma Center, Seoul National University Hospital, Korea. hagine@hanmail.net
2Department of Orthopedic Surgery, Seoul National University Hospital, Korea.
3Department of Surgery, Seoul National University Hospital, Korea.
4Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea.
5Department of Neurosurgery, Seoul National University Hospital, Korea.
6Department of Emergency Medicine, Seoul National University Hospital, Korea.
한국인 중증 외상 환자에서 촬영한 경추 외측면
단순 방사선 영상의 적절성
이경학1,2∙김영철1,3∙최석호1,3∙한국남1,4∙이수언1,5∙이정은1,2∙서길준1,6∙윤여규3
1서울대학교 병원 중증 외상 센터, 2서울대학교병원 정형외과, 3서울대학교병원 외과,
4서울대학교병원 흉부외과, 5서울대학교병원 신경외과, 6서울대학교병원 응급의학과
Received: 16 November 2012   • Revised: 26 November 2012   • Accepted: 1 December 2012
Abstract
PURPOSE
The objective of this study was to investigate the appropriateness of the cross table lateral cervical X-ray used in the emergency department for severely traumatized Korean patients.
METHODS
Patients visiting our institution from May 2011 to May 2012, who had injury severity score (ISS) > 15 and who received a cervical X-ray in the emergency department, were included in this study. Data including demographics, ISS score, GCS score, and place where the x-ray was taken were collected to evaluate their relationship with appropriate coverage of the cervical X-ray. The appropriateness of a cervical cross lateral view X-ray was evaluated using exposure of the basion, and the opisthion, as well as the distal level of exposure.
RESULTS
Fifty-two patients were included in this study. The identification rate of the basion was 79.2%, and the identification rate of the opisthion was 88.7%. Complete exposure of C7/T1 was accomplished in 3.8% of the patients. The ISS was higher for X-ray taken in the trauma bay, but the range of exposure showed no difference between the places where the X-rays taken. Patients who had exposure of C 5/6 or more had lower body weight and body mass index (BMI) compared with unexposed patients.
CONCLUSION
In severely traumatized Korean patients, the adequacy of the cross table lateral cervical X-ray was inappropriate in most cases. No difference was observed in the exposure range between the places where the X-rays were taken, and patients with less exposure showed higher body weight and higher BMI.
Key Words: Multiple trauma; Cervical vertebrae; Radiography


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