Predictive Value of Computed Tomography Scan for Posterior Ligamentous Complex Injuries in Patients with Thoracolumbar Spinal Fractures | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 7، شماره 4، مهر 2019، صفحه 321-324 اصل مقاله (387.64 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2019.35357.1930 | ||
| نویسندگان | ||
| Babak Ganjeifar1؛ Ehsan Keykhosravi2؛ Gholamreza Bahadorkhan3؛ Hossein Mashhadinezhad3؛ Mohammad R. Ehsaei3؛ Fariborz Samini3؛ Masoud Pishjoo4؛ Abdolreza Mahmoodi4؛ Hamid Rezaei* 3 | ||
| 1Department of Neurosurgery, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Department of Neurosurgery, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 3Department of Neurosurgery, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 4Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| 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: 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: 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 (P<0.05). Conclusion: 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. Level of evidence: III | ||
| کلیدواژهها | ||
| CT scan؛ MRI؛ Posterior ligamentous complex (PLC)؛ Thoracolumbar spinal injury Trauma | ||
| مراجع | ||
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1. Heinzelmann M, Wanner GA. Spinal Disorders. Thoracolumbar spinal injuries. New Delhi: Springer; 2008. 2. Rihn JA, Yang N, Fisher C, Saravanja D, Smith H, Morrison WB, Harrop J, Vacaro AR. Using magnetic resonance imaging to accurately assess injury to the posterior ligamentous complex of the spine: a prospective comparison of the surgeon and radiologist. Journal of Neurosurgery: Spine. 2010 Apr;12(4):391-6. 3. Taghippor M, Sherafat Kazemzadeh E. Column and Spinal Cord Injuries in Shiraz Nemazi Hospital, an Epidemiological Study. Armaghane danesh. 2006;10(4):55-62. 4. Fakharian E, Tabesh H, Masoud S. An epidemiologic study on spinal injuries in Kashan. Journal of Guilan University of Medical Sciences. 2004;13(49):80-5. 5. Sixta S, Moore FO, Ditillo MF, Fox AD, Garcia AJ, Holena D, et al. Screening for thoracolumbar spinal injuries in blunt trauma: an Eastern Association for the Surgery of Trauma practice management guideline. Journal of Trauma and Acute Care Surgery. 2012;73(5):S326S32. 6. Barcelos ACES, Joaquim AF, Botelho RV. Reliability of the evaluation of PLC injury in thoracolumbar spine trauma with the use of computed tomography scan. European Spine Journal. 2016;25(4):1135-43. 7. Lee H-M, Kim H-S, Kim D-J, Suk K-S, Park J-O, Kim N-H. Reliability of magnetic resonance imaging in detecting posterior ligament complex injury in thoracolumbar spinal fractures. Spine. 2000;25(16):2079-84. 8. Vaccaro AR, Lehman Jr RA, Hurlbert RJ, Anderson PA, Harris M, Hedlund R, et al. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine. 2005;30(20):2325-33. 9. Vaccaro AR, Lim MR, Hurlbert RJ, Lehman Jr RA, Harrop J, Fisher DC, et al. Surgical decision making for unstable thoracolumbar spine injuries: results of a consensus panel review by the Spine Trauma Study Group. Clinical Spine Surgery. 2006;19(1):1-10. 10. Winn HR. Youmans neurological surgery. Philadelphia: Elsevier/Saunders; 2017. 11. Aebi M. AO spine classification system for thoracolumbar fractures. 12. White AA, Panjabi MM. Clinical biomechanics of the spine: Lippincott Philadelphia; 1990. 13. Dahdaleh NS, Viljoen SV, Dalm BD, Howard MA, Grosland NM. Posterior ligamentous complex healing following disruption in thoracolumbar fractures. Medical hypotheses. 2013;81(1):117-8. 14. Pizones J, Izquierdo E, Sánchez-Mariscal F, Zúñiga L, Á lvarez P, Gómez-Rice A. Sequential damage assessment of the different components of the posterior ligamentous complex after magnetic resonance imaging interpretation: prospective study 74 traumatic fractures. Spine. 2012;37(11):E662-E7. 15. van Middendorp JJ, Patel AA, Schuetz M, Joaquim AF. The precision, accuracy and validity of detecting posterior ligamentous complex injuries of the thoracic and lumbar spine: a critical appraisal of the literature. European Spine Journal. 2013;22(3):461-74. 16. Haba H, Taneichi H, Kotani Y, Terae S, Abe S, Yoshikawa H, et al. Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. Journal of Neurosurgery: Spine. 2003 Jul;99(1):20-6. 17. Vaccaro AR, Rihn JA, Saravanja D, Anderson DG, Hilibrand AS, Albert TJ, et al. Injury of the posterior ligamentous complex of the thoracolumbar spine: a prospective evaluation of the diagnostic accuracy of magnetic resonance imaging. Spine. 2009;34(23):E841-7. | ||
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