Computed Tomographic Evaluation in Spine Trauma with Neurological Correlation in Thoracolumbar Burst Fractures
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Introduction: Radiology plays a crucial role in the evaluation of a traumatized patient by providing information that allows timely and appropriate management of the patient. Plain radiography still remains the foundation upon which the initial evaluation and diagnosis of spinal injuries are based. Computed tomography has become an indispensable tool in the evaluation of the patients of spinal trauma, especially those with neurologic deficits. This study is taken up to evaluate the spine trauma using Multislice spiral computed tomography and an attempt is made to compare it with the conventional radiographs. The importance of computed tomography in the diagnosis of spinal fractures is proved by this study. Methods and Materials: In all 136 patients referred to the department as cases of suspected spinal trauma with or without neurologic deficit were included in the study. Patients with spinal injury as a result of degenerative, neoplastic and infective processes like tuberculosis causing pathological fractures were excluded from the study. All the patients were examined with plain radiography and CT with sagittal, coronal and 3D reconstructions were done as routine post processing. Results: CT better delineates the spinal injuries according to column wise location of vertebral trauma than plain radiography. 45 patients had 47 burst fractures in the thoracolumbar region. Two patients had burst fractures at 2 levels. Seven patients did not have any symptom except for mild pain and 38 patients had abnormal neurologic symptoms. There was significant correlation with neurologic involvement and spinal canal compromise more than 50%. Conclusions: Multislice spiral computed tomography is highly significant in detection of vertebral body and posterior element fractures than conventional spine radiography. Computed tomography is extremely helpful in detection of retropulsed fracture fragment. There is significant correlation between thoracolumbar burst fractures with 50% or more spinal canal compromise of their mid sagittal diameter and neurological involvement.
Authors and Affiliations
Ashwini Bakde, Amit Disawal
Keywords
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- EP ID EP542064
- DOI 10.21276/ijmrp.2017.3.1.022
- Views 72
- Downloads 0
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