Clinical relevance of multislice CT of the spine after osteosynthesis

被引:11
作者
Lorenzen, M
Wedegärtner, U
Weber, C
Petersen, JP
Adam, G
Lorenzen, J
机构
[1] Univ Hamburg, Klinikum Eppendorf, Klin & Poliklin Diagnost & Intervent Radiol, Radiol Zentrum, D-20246 Hamburg, Germany
[2] Univ Klinikum Hamburg Eppendorf, Orthopad Klin & Poliklin, Hamburg, Germany
来源
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2005年 / 177卷 / 11期
关键词
computer_tomography (CT); computer_tomography; (CT); multidetector row; spine; CT; fixation devices;
D O I
10.1055/s-2005-858555
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To examine the clinical relevance of multislice CT (MSCT) scans in postoperative checks of the spine after osteosynthesis. Material and Methods: The results of x-rays (apical lateral) in 30 patients having spinal surgery involving osteosynthesis (5 x metastasis, 20 x fractures, 3 x spondylolisthesis, 2 x scoliosis) were correlated to those of MSCT (140 kV, 200 mAs, collimation 4 x 1 mm, pitch 0.75; VolumeZoom, Siemens, Erlangen, Germany) with multiplanar reconstruction. Two radiologists independently checked the conventional x-ray and multislice CT scans for anatomical positioning, damage of osteosynthetic material, and intraspinal dislocation of bone fragments. Results: By correlating conventional spinal x-rays with MSCT, additional diagnostic information was gained. In 9 of 30 patients MSCT revealed the extraosseal location of a screw tip (x-ray, 5/30), in 8/30 patients a narrowing of the spinal canal by osteosynthetic material was detected in MSCT (x-ray, 4/30), in 2/30 patients osteal fragments were detected in the vertebral canal by MSCT (x-ray, 0/30). In MSCT and in conventional x-ray a fracture of the osteosynthesis was correctly diagnosed in 3 patients. One patient underwent corrective surgery for dislocated osteosynthetic material, which was solely diagnosed with MSCT. Conclusion: Due to the high degree of additional diagnostic information MSCT seems to be the method of choice for postoperative spinal surgery involving osteosynthesis.
引用
收藏
页码:1540 / 1544
页数:5
相关论文
共 30 条
[1]   Radiological and computer tomographic assessment of pedicle screw placement in the lumbar spine. [J].
Bohnsack, M ;
Rühmann, O ;
Gossé, F .
ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 2001, 139 (01) :26-30
[2]   Multislice helical CT (MSCT) for mid-facial trauma: Optimization of parameters for scanning and reconstruction [J].
Dammert, S ;
Funke, M ;
Merten, HA ;
Obernauer, S ;
Grabbe, E .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2002, 174 (07) :874-879
[3]   COMPLICATIONS OF LUMBAR SPINAL-FUSION WITH TRANSPEDICULAR INSTRUMENTATION [J].
DAVNE, SH ;
MYERS, DL .
SPINE, 1992, 17 (06) :S184-S189
[4]   Treatment of fractures of the thoracolumbar spine by combined anteroposterior fixation using the Harms method [J].
Defino H.L.A. ;
Rodriguez-Fuentes A.E. .
European Spine Journal, 1998, 7 (3) :187-194
[5]  
Esses S I, 1989, Orthop Rev, V18, P676
[6]   COMPLICATIONS ASSOCIATED WITH THE TECHNIQUE OF PEDICLE SCREW FIXATION - A SELECTED SURVEY OF ABS MEMBERS [J].
ESSES, SI ;
SACHS, BL ;
DREYZIN, V .
SPINE, 1993, 18 (15) :2231-2239
[7]   OPERATIVE TREATMENT OF SPINAL FRACTURES WITH THE AO INTERNAL FIXATOR [J].
ESSES, SI ;
BOTSFORD, DJ ;
WRIGHT, T ;
BEDNAR, D ;
BAILEY, S .
SPINE, 1991, 16 (03) :S146-S150
[8]   ACCURACY OF PEDICLE SCREW PLACEMENT IN LUMBAR FUSIONS BY PLAIN RADIOGRAPHS AND COMPUTED-TOMOGRAPHY [J].
FARBER, GL ;
PLACE, HM ;
MAZUR, RA ;
JONES, DEC ;
DAMIANO, TR .
SPINE, 1995, 20 (13) :1494-1499
[9]   ACCURACY OF PEDICULAR SCREW PLACEMENT INVIVO [J].
GERTZBEIN, SD ;
ROBBINS, SE .
SPINE, 1990, 15 (01) :11-14
[10]   Evaluation of radiation exposure with singleslice- and a multislice-spiral CT system (a phantom study) [J].
Giacomuzzi, SM ;
Torbica, P ;
Rieger, M ;
Lottersberger, C ;
Peer, S ;
Peer, R ;
Perkmann, R ;
Buchberger, W ;
Bale, R ;
Mallouhi, A ;
Jaschke, W .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2001, 173 (07) :643-649