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Axial trauma

Leeds Teaching Hospitals, Beckett Street, Leeds LS9 7TF, UK

• Axial trauma often involves high energy mechanisms and multiple injuries are therefore common.
  
• Multislice CT is the imaging modality of choice for axial trauma but the other modalities should not be forgotten.
  
• Clearing the cervical spine involves both clinical and radiological assessment.
  
• Thoraco-lumbar injuries are often overlooked.
  
• Pelvic injuries are potentially life threatening and can have complex patterns.