Value of multidetector spiral CT in diagnosis of acute thoracolumbar spinal fracture and fracture-dislocation.
- Author:
Jing-Shan GONG
1
;
Jian-Min XU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Cohort Studies; Female; Follow-Up Studies; Fracture Fixation; methods; Fracture Healing; physiology; Humans; Image Processing, Computer-Assisted; Injury Severity Score; Lumbar Vertebrae; injuries; Male; Middle Aged; Retrospective Studies; Risk Assessment; Sensitivity and Specificity; Spinal Fractures; diagnostic imaging; surgery; Thoracic Vertebrae; injuries; Tomography, Spiral Computed; Treatment Outcome
- From: Chinese Journal of Traumatology 2004;7(5):289-293
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo investigate the diagnostic value of multidetector spiral CT (MSCT) in acute thoracolumbar spinal fracture and fracture-dislocation.
METHODSCT imaging files of 152 consecutive traumatic patients with thoracolumbar fractures were retrospectively reviewed. MSCT scannings were performed with a collimation of 3-5 mm and a pitch of 5.5. The postprocessing included sagittal and coronal multiplannar reconstruction, and 3-D reconstruction.
RESULTSThere were 88 cases of compression fracture, 54 cases of burst fracture and 10 cases of fracture-dislocation. Transverse images of MSCT could visualize all fractures directly and determine whether spinal canal was intact. Postprocessing image was helpful in depicting the displacement of fragment and orientation of dislocation.
CONCLUSIONSMSCT plays an important role in diagnosis and management of acute thoracolumbar spinal fracture and fracture-dislocation.
