Can CT imaging of the chest, abdomen, and pelvis identify all vertebral injuries of the thoracolumbar spine without dedicated reformatting?

被引：5

作者：

Imran, Jonathan B. ^{[1
,2
]}

Madni, Tarik D. ^{[1
,2
]}

Pruitt, Jeffrey H. ^{[3
]}

Cornelius, Canon ^{[1
,2
]}

Subramanian, Madhu ^{[1
,2
]}

Clark, Audra T. ^{[1
,2
]}

Mokdad, Ali A. ^{[1
,2
]}

Rizk, Paul ^{[1
,2
]}

Minei, Joseph P. ^{[1
,2
]}

Cripps, Michael W. ^{[1
,2
]}

Eastman, Alexander L. ^{[1
,2
]}

机构：

[1] Univ Texas Southwestern Med Ctr Dallas, Rees Jones Trauma Ctr Parkland Hosp, Dallas, TX 75390 USA

[2] Univ Texas Southwestern Med Ctr Dallas, Dept Surg, Div Burn Trauma & Crit Care, Dallas, TX 75390 USA

[3] Univ Texas Southwestern Med Ctr Dallas, Dept Radiol, Dallas, TX 75390 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2018年 / 216卷 / 01期

关键词：

Thoracolumbar; Reformat; CT; Spine; Trauma; BLUNT TRAUMA; LUMBAR SPINE; FRACTURES;

D O I：

10.1016/j.amjsurg.2017.12.001

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The main objective of this study was to compare detection rates of clinically significant thoracolumbar spine (TLS) fracture between computed tomography (CT) imaging of the chest, abdomen, and spine (CT CAP) and CT for the thoracolumbar spine (CT TL). Methods: We retrospectively identified patients at our institution with a TLS fracture over a two-year period that had both CT CAP and reformatted CT TL imaging. The sensitivity of CT CAP to identify fracture was calculated for each fracture type. Results: A total of 516 TLS fractures were identified in 125 patients using reformatted CT TL spine imaging. Overall, 69 of 512 fractures (13%) were missed on CT CAP that were identified on CT TL. Of those, there were no clinically significant missed fractures. Conclusions: CT CAP could potentially be used as a screening tool for clinically significant TLS injuries. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：52 / 55

页数：4

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