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创伤性胸脊骨折:我们可以预测MRI何时会改变骨折分类或决策与单独CT相比吗?

Khulood K AlRaddadi^1,2, Abdulbaset M Al-Shoaibi³, Abdelwahed Alnaqeep²

¹Department of Neurosurgery, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|April 3, 2024

概括

磁共振成像 (MRI) 显著影响胸脊骨折 (TSF) 的分类,通过揭示后部带复杂损伤. 将MRI添加到计算机断层扫描 (CT) 中可以完善骨折类型和严重程度得分,提高诊断准确度.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
脊柱外科手术脊柱外科手术

背景情况:

胸脊骨折 (TSFs) 需要准确的分类,以获得最佳的治疗.
计算机断层扫描 (CT) 是初始TSF评估的标准.
磁共振成像 (MRI) 在完善TSF分类中的作用,特别是在后带复合 (PLC) 损伤方面,需要进一步阐明.

研究的目的:

评估将MRI添加到CT用于分类胸脊骨折 (TSFs) 的影响.
为了比较CT单独和CT与MRI之间的骨折分类和损伤严重程度得分.

主要方法:

63名TSF患者的回顾性审查,这些患者接受了CT和MRI.
使用AOSpine分类和Thoracolumbar AOSpine伤害严重程度评分 (TLAOSIS) 进行骨折分类.
在CT和MRI发现之间对AO类型和TLAOSIS进行比较,在两种模式下对PLC损伤的具体定义.

主要成果:

CT将骨折分类为AO类型A (55%),B (29%) 和C (16%).
添加MRI到CT将16%的AO型A骨折升级为B型,并在12.8%的病例中改变了TLAOSIS.
具有高负载共享得分 (LSC ≥6) 的A型骨折有60%的机会通过MRI升级到B型.

结论:

在TSF中,CT在诊断PLC损伤时显示了89%的准确性.
与单独的CT相比,MRI通过大幅改变AO分类或TLAOSIS来为TSF分类提供附加值.
建议在TSF中进行全面的PLC评估时使用MRI.

关键词:

根据AOSpine的分类.计算机断层扫描 (CT) 是一种计算机断层扫描.磁共振成像技术磁共振成像技术后部带复合体后部带复合体胸脊骨折胸脊骨折胸脊骨折胸脊骨折

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