Thoracolumbar Spine Trauma

Bhatia, Rita; Bowen, Brian C.

doi:10.1007/978-3-540-68483-1_13

Cited by 2 publications

(8 citation statements)

References 70 publications

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“…The second step in diagnosis is conventional radiography, including anteroposterior (AP) and lateral films of the spine. 18 Wedge deformity is a key X-ray feature associated to compression fracture and is visible in the lateral view. It appears as a loss of height of the anterior aspect of the vertebral body (usually <50%) with preservation of the height of the posterior aspect body.…”

Section: Discussionmentioning

confidence: 99%

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Delay in diagnosis of thoracolumbar fractures

Aso-Escario¹,

Sebastián²,

Vizán³

et al. 2019

Orthop Rev (Pavia)

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The time interval between the date of trauma and the diagnosis of vertebral column fractures hinders management and increases liability. We have examined the features and implications of this delay. 585 consecutive thoracolumbar fractures (2005-2016), were considered; 382 (65.30%) were males and 203 (34.70%) females. Mean age was 51 yr. Fall from a height (187; 31.97%), simple fall (147; 25.13%) and road accidents (111; 18.97%) were the most frequent causes of trauma. Physical exertion caused 8.38% (N=49). 142 patients (24.27%) were not diagnosed on the injury day (mean = 3.2 days). Delay was longer in females (mean =5.5 vs. 2.7 days) and shorter in falls from a height (mean = 2.3) or road accidents (2.8). Mean age of diagnosed on the injury day differed from those diagnosed in the first month (49.2 vs60.1). Plain X-ray signs were found in 7 misdiagnosed cases (46.6%). Delay was more frequent in low mineralization cases. Diagnostic delay of spine fractures is frequent. Some risk profiles can help to reduce it. Careful emergency X-ray examination is encouraged, as well as early magnetic resonance imaging in risk profiles.

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Section: Discussionmentioning

confidence: 99%

“…A discrepancy of >2 mm is considered significant, except at T12-L1, where the height difference might be normal. 18…”

Section: Discussionmentioning

confidence: 99%

Delay in diagnosis of thoracolumbar fractures

Aso-Escario¹,

Sebastián²,

Vizán³

et al. 2019

Orthop Rev (Pavia)

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“…They are usually because of axial loading or hyperflexion injuries, most frequently from high‐energy motor vehicle collisions. T10–T12 are the most frequent levels of thoracic spine fractures (60). With thoracic spine fractures, the spinal cord may be concomitantly injured either directly from a displaced bone and a disc fragment or indirectly from altered, already‐tenuous vascular supply.…”

Section: Multidetector‐row Computed Tomography Protocolmentioning

confidence: 99%

“…Imaging findings are loss of height of both anterior and posterior vertebral body, disruption of the posterior vertebral body line and retropulsion of fracture fragments. Burst fractures are generally considered unstable when there is widening of the interspinous or interlaminar distance, kyphosis greater than 20 degrees, translation of more than 2 mm, a height loss of more than 50% or articular process fractures (60). Fracture‐dislocations are the most severe form of thoracic spinal fractures.…”

Section: Multidetector‐row Computed Tomography Protocolmentioning

confidence: 99%

“…As contiguous and non‐contiguous spinal injuries may also be present in 5–20% of patients with a spinal injury, a careful search for a second injury is warranted. In addition, thoracic spine fractures are associated with intrathoracic, abdominal and skeletal injuries in 20%, 10% and 20% of patients, respectively (60).…”

Section: Multidetector‐row Computed Tomography Protocolmentioning

confidence: 99%

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Multidetector-row computed tomography of thoracic trauma

Kaewlai

2011

International Journal of Clinical Practice

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Summary Imaging in trauma patients has dramatically evolved since the advent of computed tomography (CT), particularly multidetector CT (MDCT) technology. Axial MDCT images of the body can be acquired in seconds and shown any plane, allowing immediate viewing and interpreting. These factors make CT an invaluable means to detect many injuries not previously visible by any other noninvasive imaging techniques. Potentially subtle, but significant, thoracic injuries such as pneumothorax, haemothorax, aortic injury, sternal and spinal fractures can be detected on MDCT easily. In this article, the author will discuss the use of MDCT in the diagnosis of various thoracic injuries.

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Thoracolumbar Spine Trauma

Cited by 2 publications

References 70 publications

Delay in diagnosis of thoracolumbar fractures

Delay in diagnosis of thoracolumbar fractures

Multidetector-row computed tomography of thoracic trauma

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