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Traumatic Findings on C-spine MRI Following Negative CT Scans in Older Patients following a Fall

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Abstract

Computed tomography (CT) has long been the standard for evaluating head trauma after a fall. The efficiency and lower cost of performing a CT scan has made it the more practical choice for most emergent situations. However, the soft tissue detail in MRI may show injuries in the brain or spinal cord that would be missed on a CT scan1. Early detection of brain or spinal injuries after trauma is critical and has large impacts on patient outcomes2. Additionally, an unstable injury that is missed on CT but found on MRI may have legal implications.

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