Predictive Value of Computed Tomography Scan for Posterior Ligamentous Complex Injuries in Patients with Thoracolumbar Spinal Fractures.
CT scan
MRI
Posterior ligamentous complex (PLC)
Thoracolumbar spinal injury Trauma
Journal
The archives of bone and joint surgery
ISSN: 2345-4644
Titre abrégé: Arch Bone Jt Surg
Pays: Iran
ID NLM: 101636743
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
entrez:
27
8
2019
pubmed:
27
8
2019
medline:
27
8
2019
Statut:
ppublish
Résumé
Thoracolumbar spinal fractures include a range of injuries of various severities from simple apophyseal fractures to neurological injury and complex fractures associated with vertebral dislocation. The treatment of thoracolumbar fractures is challenging, especially due to the difficulty of evaluating the posterior ligamentous complex (PLC). The purpose of this study was to evaluate the diagnostic value of computed tomography (CT) scan in predicting PLC injuries in the patients with thoracolumbar spinal fractures referring to the referral center of spinal trauma in the east north of Iran in 2016. This retrospective study was conducted on patients with thoracolumbar injuries referring to Shahid Kamyab Hospital in Mashhad, east north of Iran, in 2016. The data were collected by entering the data of medical records into special forms. The classification of spinal fractures was accomplished using the AO Spine Classification System. According to the results, 71 (71.7%) patients were male, and the subjects had a mean age of 44.6±17.7 years. The PLC injury was observed in 28 (28.3%) patients. The PLC injury showed a significant relationship with facet joint widening, increased interspinous process distance, and spinous process avulsion fracture ( As the findings of this study indicated, the diagnostic results of PLC injury by means of CT scan was similar to those obtained by magnetic resonance imaging in patients with thoracolumbar spinal fractures.
Sections du résumé
BACKGROUND
BACKGROUND
Thoracolumbar spinal fractures include a range of injuries of various severities from simple apophyseal fractures to neurological injury and complex fractures associated with vertebral dislocation. The treatment of thoracolumbar fractures is challenging, especially due to the difficulty of evaluating the posterior ligamentous complex (PLC). The purpose of this study was to evaluate the diagnostic value of computed tomography (CT) scan in predicting PLC injuries in the patients with thoracolumbar spinal fractures referring to the referral center of spinal trauma in the east north of Iran in 2016.
METHODS
METHODS
This retrospective study was conducted on patients with thoracolumbar injuries referring to Shahid Kamyab Hospital in Mashhad, east north of Iran, in 2016. The data were collected by entering the data of medical records into special forms. The classification of spinal fractures was accomplished using the AO Spine Classification System.
RESULTS
RESULTS
According to the results, 71 (71.7%) patients were male, and the subjects had a mean age of 44.6±17.7 years. The PLC injury was observed in 28 (28.3%) patients. The PLC injury showed a significant relationship with facet joint widening, increased interspinous process distance, and spinous process avulsion fracture (
CONCLUSION
CONCLUSIONS
As the findings of this study indicated, the diagnostic results of PLC injury by means of CT scan was similar to those obtained by magnetic resonance imaging in patients with thoracolumbar spinal fractures.
Types de publication
Journal Article
Langues
eng
Pagination
321-324Références
Spine (Phila Pa 1976). 2000 Aug 15;25(16):2079-84
pubmed: 10954639
J Neurosurg. 2003 Jul;99(1 Suppl):20-6
pubmed: 12859054
Spine (Phila Pa 1976). 2005 Oct 15;30(20):2325-33
pubmed: 16227897
J Spinal Disord Tech. 2006 Feb;19(1):1-10
pubmed: 16462211
Spine (Phila Pa 1976). 2009 Nov 1;34(23):E841-7
pubmed: 19927090
J Neurosurg Spine. 2010 Apr;12(4):391-6
pubmed: 20367374
Spine (Phila Pa 1976). 2012 May 15;37(11):E662-7
pubmed: 22146288
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S326-32
pubmed: 23114489
Eur Spine J. 2013 Mar;22(3):461-74
pubmed: 23208081
Med Hypotheses. 2013 Jul;81(1):117-8
pubmed: 23639281
Eur Spine J. 2013 Oct;22(10):2147-8
pubmed: 24113998
Eur Spine J. 2016 Apr;25(4):1135-43
pubmed: 26810978