When to use
Spine CT is indicated for traumatic fractures, pre-surgical planning, focal bone changes and when MRI is contraindicated. For discs, cord and soft tissues, MRI is superior. In polytrauma, spine CT is part of the whole-body trauma protocol.
What to evaluate
- Vertebral alignment and curvatures (lordosis/kyphosis).
- Fractures: line, displacement, fragments, stability (TLICS, AO Spine).
- Disc spaces (height, calcification).
- Canal and foramina: bony stenosis.
- Facet joints, transverse and spinous processes.
Interactive template
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Técnica:
Aquisição volumétrica sem contraste.
Análise:
- Manipulação cirúrgica:
- Fraturas: ausentes.
- Lesões ósseas agressivas: ausentes.
- Alinhamentos sagital e coronal: preservados.
- Corpos vertebrais: de alturas preservadas.
- Discos intervertebrais: sem protrusões significativas.
- Articulações interfacetárias: preservadas.
- Canal vertebral e forames neurais: de amplitude normal.
- Estruturas paravertebrais: sem particularidades.,
Comparação:
Em relação ao exame de não se observam alterações significativas.
Conclusão:
Exame dentro dos limites da normalidade.
How to use
- Replace each [...] with the exam's measurement or descriptor.
- Adapt the conclusion to your service protocol before signing.
- Use the template as a starting point — not a replacement for physician review.
- In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.
Frequently asked
- TLICS — when surgery?
- Sum of morphology + posterior ligamentous complex integrity + neurologic status. Score ≥ 5: surgery; ≤ 3: conservative; 4: surgeon discretion.
- MRI or CT for disc herniation?
- MRI is the method of choice — assesses disc, root and cord. CT is a good alternative only if MRI is contraindicated or in calcified herniation.
References
- Vaccaro AR et al., Spine 2005 (TLICS).
- AO Spine Thoracolumbar Classification.