Anterior-posterior view by full-body digital X-ray to rule out severe spinal injuries in Polytraumatized patients

Abstract Background Spinal injuries are present in 16–31% of polytraumatized patients. Rapid identification spinal requiring immobilization or operative treatment is essential. The Lodox-Statscan (LS) has evolved into a promising time-saving diagnostic tool to diagnose life-threatening with an anterior-posterior (AP)-full-body digital X-ray. Methods We aimed analyze the accuracy and interrater reliability AP-LS detect Therefore, within 3 years, patients (ISS ≥ 16) were retrospectively analyzed by three independent observers. sensitivity specificity correct diagnosis compared CT scan calculated. was evaluated using area under ROC (receiver operating characteristic curve) for specificity. Interrater between observers calculated Fleiss’ Kappa. further severity injuries. Results study group included 320 (48.5 years ±19.5, 89 women). On scan, 207 presented injury (65%, total 332 injuries). had low 9% (31 332, range 0–24%) high 99% (range 98–100%). highest thoracic (14%). slight (κ = 0.02; 95% CI: 0.00, 0.03). Potentially unstable more likely be detected than stable (sensitivity 18 6%, respectively). Conclusion This demonstrated detecting scan. In patients, AP-LS, implemented Advanced Trauma Life Support-algorithm, helpful However, if suspected, performing full-body necessary diagnosis.