The Radiographic Evaluation of Spinal Trauma

Dalinka, Murray K.; Kessler, Howard; Weiss, Marisa

doi:10.1016/s0733-8627(20)30950-0

Cited by 15 publications

(3 citation statements)

References 24 publications

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“…Moreover, there was no significant difference between the two approaches in terms of pain reduction. Furthermore, both techniques were shown to effectively prevent the occurrence of complications and extend the lives of patients (50,51).…”

Section: Cement Augmentation Techniquesmentioning

confidence: 99%

Clinical Therapy of Metastatic Spinal Tumors

Wei

et al. 2021

Front. Surg.

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Metastatic spinal tumors (MST) have high rates of morbidity and mortality. MST can destroy the vertebral body or compress the nerve roots, resulting in an increased risk of pathological fractures and intractable pain. Here, we elaborately reviewed the currently available therapeutic options for MST according to the following four aspects: surgical management, minimally invasive therapy (MIT), radiation therapy, and systemic therapy. In particular, these aspects were classified and introduced to show their developmental process, clinical effects, advantages, and current limitations. Furthermore, with the improvement of treatment concepts and techniques, we discovered the prevalent trend toward the use of radiation therapy and MIT in clinic therapies. Finally, the future directions of these treatment options were discussed. We hoped that along with future advances and study will lead to the improvement of living standard and present status of treatment in patients with MST.

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Section: Cement Augmentation Techniquesmentioning

confidence: 99%

Clinical Therapy of Metastatic Spinal Tumors

Wei

et al. 2021

Front. Surg.

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“…6 Fractures considered stable, such as compression fractures and mild burst fractures (AO Spine type A) rarely need additional radiological evaluation after the CT scan. 7,8 Their management consists in thoracolumbar orthoses and analgesics that enable the patient to bear load of their own body weight during daily activities until vertebral healing. 6,9 However, some patients diagnosed with A3 and A4 fractures should not have be considered to have stable injuries when, in fact, they have an occult B2 fracture (AO Spine classification systemdistraction fractures associated with posterior ligamentous complex injury), 10 which was not initially detected in the patient's exams in dorsal decubitus (without axial load) due to some postural reduction.…”

Section: Introductionmentioning

confidence: 99%

The Importance of Orthostatic Radiography in the Management of Thoracolumbar Fractures: Case Report

Fortunato,

Fernandes,

Joaquim

2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Patients who are victims of traumatic injuries in the spine are evaluated by radiological protocols, as recommended by Advanced Trauma Life Support (ATLS), including a computed tomography (CT) scan with the patient in the decubitus position. Spine fractures considered stable with initial nonoperative management should be further evaluated with a standard simple plain radiograph in orthostasis and/or a magnetic resonance image (MRI), to exclude any associated ligament injury and avoid neurological damage caused by occult instabilities. We present an illustrative case with an injury diagnosed through orthostasis X-ray to discuss its importance in the management of thoracolumbar fractures.

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“…Radiological evaluation includes antero-posterior and lateral skiagram gives information of the spinal alignment, presence of any rotation or translation, kyphosis, any loss of vertebral height, and increased inter-pedicular or inter-spinous distance. CT scan of the injured levels provides with the degree of canal compromise & morphology of fracture [12][13][14]. Approximately, 25% of burst fractures are misdiagnosed as compression fractureswithout CT Scan [15].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Long Segment Posterior Spinal Stabilization Incorporating the Fractured Vertebra for Unstable Thoraco-Lumbar Junctional Brust Fracture

Islam¹,

Saha²,

Siddique³

2023

Jap J Clin & Med Res

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Objectives: To evaluate the outcome of long segment posterior spinal stabilization incorporating the fractured vertebra with posterolateral fusion for unstable thoraco-lumbar junctional brust fracture. Background: Thoracolumbar junction is the commonest site of traumatic spinal injury. Now a days, it is managed surgically most of the time because it is often associated with the spinal cord injury. Its mode of surgical management is a field of controversy. Huge debate is still going on between the superiority of long & short segment stabilization. In this study, we evaluated the outcome of long segment posterior spinal stabilization incorporating the fractured vertebra Materials & Method: This prospective interventonal study included 30 case of thoraco-lumbar junctional unstable brust fractures was carried out in the Spine unit of Orthopaedic surgery department of Bangabandhu Sheikh Mujib Medical University, Dhaka and other private hospital in Dhaka City, Bangladesh, from January 2016 to July 2022. All the patients with positive clinical findings, X-ray, MRI & CT scan findings and underwent long segment posterior spinal stabilization incorporating the fractured vertevra with posterolateral fusion. Average follow-up period was 12 months. Pre & Post-operatively, neurological assessment was done by the ASIA Impairment Score, improvement of pain control by VAS score, fusion rate by Bridwell’s criteria, Kyphotic angle was measured by Cobb’s angle measurement method & Overall functional assessment by modified Odom’s score. Results: Total number of patients was 30. Average age was 34 years (range 21- 47). ASIA score improved from B to C in 5 patients, B to D in 5 patients, C to D in 8 patients , C to E in 3 patients, patients, D to E in 7 patients. 2 patient did not improved following surgery. Fusion was achieved in 29 patients & 1 patient developed pseudoarthrosis. Pre & Post- operative VAS score was 7.30±1.9 & 3.3±1.8 respectively. The average kyphotic correction was 15 ∞. In our series, we have no bedridden patients after surgery. There was no radiographic progression after surgery. Conclusion: Early treatment within 21 days of injury with long segment posterior spinal stabilization incorporating the fractured vertevra with posterolateral fusion is a very effective surgical procedure with preservation of the motion segment to treat unstable thoracolumbar junctional brust fracture.

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The Radiographic Evaluation of Spinal Trauma

Cited by 15 publications

References 24 publications

Clinical Therapy of Metastatic Spinal Tumors

Clinical Therapy of Metastatic Spinal Tumors

The Importance of Orthostatic Radiography in the Management of Thoracolumbar Fractures: Case Report

Outcome of Long Segment Posterior Spinal Stabilization Incorporating the Fractured Vertebra for Unstable Thoraco-Lumbar Junctional Brust Fracture

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