Diagnóstico por imagem em paciente com traumatismo da coluna vertebral

The spinal cord injury (SCI) can be defined as any aggression that results in damage to anatomical or functional neural elements (spinal cord, nerve roots) into the spinal canal with or without fractures and / or dislocation of the spine, resulting in a change, either permanent or temporary, in their motor function, sensory and autonomic. The diagnosis of traumatic lesions of the spine is the initial event and the key to successful treatment. Among the most used are the plain radiography, computed tomography(CT) and magnetic resonance imaging (MRI). The initial approach to the patient with suspected spinal injury should be made through the study of radiography, consisting of an available and fast method. CT is able to diagnose occult fractures radiography, providing additional information for further evaluation and development of the fracture treatment and better defining the bone edges. MRI can depict spinal canal and the degree and extent of soft tissue details, such as in spinal cord injuries, vascular, discs and epidural hematomas. Thus, the choice of exam at the time of initial evaluation of the patient will influence in improved prognosis should be performed autonomously and safely.