Objective To review imaging use in the diagnosis of thoracolumbar burst fractures and to determine the diagnostic va-lue of different imaging methods. Methods One hundred and fourteen patients with 120 thoracolumbar b...Objective To review imaging use in the diagnosis of thoracolumbar burst fractures and to determine the diagnostic va-lue of different imaging methods. Methods One hundred and fourteen patients with 120 thoracolumbar burst fractures were retrospectively reviewed. Pl-ain radiographs were available in all cases; CT scans and MRI were obtained in 96 and 74 cases, respectively. Results A total of 27 burst fractures were misdiagnosed as other types of fractures on radiographs alone, and accounted for 22.5% of all fractures. The results indicated that plain radiographs often fail to delineate the pathological features of thor-acolumbar burst fractures, leading to delay in diagnosis. Conclusion In regard to thoracolumbar injury diagnosis, burst fractures should be differentiated from compression frac-tures. CT should be routinely indicated and MRI examination, when necessary, may be simultaneously considered.展开更多
目的伤椎置钉复位脊柱骨折是近年来逐渐广泛应用的外科技术。胸腰段骨折微创手术的目的是减少创伤、融合固定节段以重建脊柱的稳定性。文中探讨采用椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效。方法采用该手术方式治...目的伤椎置钉复位脊柱骨折是近年来逐渐广泛应用的外科技术。胸腰段骨折微创手术的目的是减少创伤、融合固定节段以重建脊柱的稳定性。文中探讨采用椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效。方法采用该手术方式治疗胸腰段骨折患者24例,选择椎旁肌间隙入路,固定伤椎及邻近节段,通过术中操作矫形重建脊柱稳定性、矫正后凸畸形。应用视觉模拟评分法(visual analogue scale,VAS)及健康调查简表(the MOS item short-form health sutvey,SF-36)评估患者疼痛及生活质量改善的情况,通过影像学测量评估伤椎的高度丢失及脊柱后凸畸形的矫正情况。结果所有患者的随访时间均>1年,患者术前和术后1年随访时VAS评分分别为(7.65±0.13)、(1.54±0.07)分,SF-36量表评分分别为(90.21±2.02)、(117.21±1.02)分,差异有统计学意义(P<0.05),表明手术可有效改善疼痛、提高生活质量。影像学评估提示患者的脊柱伤椎高度丢失和后凸畸形得到较好的矫正。结论采用椎旁肌间隙入路结合伤椎置钉技术可有效矫正伤椎高度丢失和脊柱后凸畸形,手术损伤小,融合固定节段少,具有良好的临床疗效。展开更多
文摘Objective To review imaging use in the diagnosis of thoracolumbar burst fractures and to determine the diagnostic va-lue of different imaging methods. Methods One hundred and fourteen patients with 120 thoracolumbar burst fractures were retrospectively reviewed. Pl-ain radiographs were available in all cases; CT scans and MRI were obtained in 96 and 74 cases, respectively. Results A total of 27 burst fractures were misdiagnosed as other types of fractures on radiographs alone, and accounted for 22.5% of all fractures. The results indicated that plain radiographs often fail to delineate the pathological features of thor-acolumbar burst fractures, leading to delay in diagnosis. Conclusion In regard to thoracolumbar injury diagnosis, burst fractures should be differentiated from compression frac-tures. CT should be routinely indicated and MRI examination, when necessary, may be simultaneously considered.
文摘目的伤椎置钉复位脊柱骨折是近年来逐渐广泛应用的外科技术。胸腰段骨折微创手术的目的是减少创伤、融合固定节段以重建脊柱的稳定性。文中探讨采用椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效。方法采用该手术方式治疗胸腰段骨折患者24例,选择椎旁肌间隙入路,固定伤椎及邻近节段,通过术中操作矫形重建脊柱稳定性、矫正后凸畸形。应用视觉模拟评分法(visual analogue scale,VAS)及健康调查简表(the MOS item short-form health sutvey,SF-36)评估患者疼痛及生活质量改善的情况,通过影像学测量评估伤椎的高度丢失及脊柱后凸畸形的矫正情况。结果所有患者的随访时间均>1年,患者术前和术后1年随访时VAS评分分别为(7.65±0.13)、(1.54±0.07)分,SF-36量表评分分别为(90.21±2.02)、(117.21±1.02)分,差异有统计学意义(P<0.05),表明手术可有效改善疼痛、提高生活质量。影像学评估提示患者的脊柱伤椎高度丢失和后凸畸形得到较好的矫正。结论采用椎旁肌间隙入路结合伤椎置钉技术可有效矫正伤椎高度丢失和脊柱后凸畸形,手术损伤小,融合固定节段少,具有良好的临床疗效。
