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Volume 10
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10.3390/children10071094
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Review

Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review

by
Aapo Sirén
1,*,
Mikko Nyman
1,
Johanna Syvänen
2,
Kimmo Mattila
1 and
Jussi Hirvonen
1,3
1
Department of Radiology, University of Turku and Turku University Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland
2
Department of Pediatric Orthopedic Surgery, University of Turku and Turku University Hospital, 20520 Turku, Finland
3
Medical Imaging Center, Department of Radiology, Tampere University and Tampere University Hospital, 33100 Tampere, Finland
*
Author to whom correspondence should be addressed.
Children 2023, 10(7), 1094; https://doi.org/10.3390/children10071094
Submission received: 4 June 2023 / Revised: 19 June 2023 / Accepted: 20 June 2023 / Published: 21 June 2023
(This article belongs to the Special Issue Advanced Research in Pediatric Radiology and Nuclear Medicine (Volume II))
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Highlights

What are the main findings?
This pictorial review aims to showcase common traumatic findings, physiological phenomena, and potential challenges in using emergency MRI for pediatric spine trauma.
What is the implication of the main finding?
  • Severe spinal trauma is uncommon in children and adolescents, but the consequences of missed injury can be fatal.
  • Diagnostic imaging is necessary to assess the extent of injury, especially regarding ligamentous structures.
  • MRI is a safe and effective option for imaging the spine in pediatric patients, as it depicts the whole extent of the injury at once.

Abstract

Severe spinal trauma is uncommon in the pediatric population, but due to the potentially devastating consequences of missed injury, it poses a diagnostic challenge in emergency departments. Diagnostic imaging is often needed to exclude or confirm the injury and to assess its extent. Magnetic resonance imaging (MRI) offers an excellent view of both bony and soft tissue structures and their traumatic findings without exposing children to ionizing radiation. Our pictorial review aims to demonstrate the typical traumatic findings, physiological phenomena, and potential pitfalls of emergency MRI in the trauma of the growing spine.
Keywords: magnetic resonance imaging; pediatric; trauma; spine; emergency imaging magnetic resonance imaging; pediatric; trauma; spine; emergency imaging

Share and Cite

MDPI and ACS Style

Sirén, A.; Nyman, M.; Syvänen, J.; Mattila, K.; Hirvonen, J. Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review. Children 2023, 10, 1094. https://doi.org/10.3390/children10071094

AMA Style

Sirén A, Nyman M, Syvänen J, Mattila K, Hirvonen J. Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review. Children. 2023; 10(7):1094. https://doi.org/10.3390/children10071094

Chicago/Turabian Style

Sirén, Aapo, Mikko Nyman, Johanna Syvänen, Kimmo Mattila, and Jussi Hirvonen. 2023. "Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review" Children 10, no. 7: 1094. https://doi.org/10.3390/children10071094

APA Style

Sirén, A., Nyman, M., Syvänen, J., Mattila, K., & Hirvonen, J. (2023). Emergency MRI in Spine Trauma of Children and Adolescents—A Pictorial Review. Children, 10(7), 1094. https://doi.org/10.3390/children10071094

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