Vergleichende computertomographische und kernspintomographische Beurteilung von Wirbelsäulenverletzungen der BWS und LWS anhand der Magerl-Klassifikation

Grünhagen, J.; Egbers, H.-J.; Heller, Martin; Reuter, M.

doi:10.1055/s-2005-858198

Cited by 9 publications

(3 citation statements)

References 14 publications

(19 reference statements)

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“…The results showed that out of 46 fractures, only 5 received a different classification based on CT images compared to MR images. MR imaging revealed more bone lesions and detected the ligamentum longitudinal rupture in 5 patients [27].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Osteoporotic Vertebral Fracture Diagnosis and Treatment Planning: Comparing CT and STIR Sequence MRI

Viola,

Aslan,

Al-Smadi

et al. 2023

Preprint

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In response to a threefold increase in osteoporotic vertebral fractures (OVF) at our institution over the past decade and the subsequent development of new fractures within a year in a third of cases, we evaluated the effectiveness of STIR MRI scans in conjunction with CT scans for initial OVF diagnosis. This study, conducted over five months, involved full spine sagittal STIR MRI scans alongside CT scans for patients over 50 with minor injury-related vertebral fractures. The independent assessments by radiologists and neurosurgeons of 64 patients revealed that while CT scans identified 161 fresh fractures, of which only 68 were previously reported, MRI detected 266 fractures, 1.65 times more than CT. CT scans showed single fractures in 27% of patients and multiple fractures in 73%, whereas MRI identified single fractures in 9% and multiple fractures in 91% of patients. Additionally, MRI demonstrated a 1.5-fold increase in adjacent fracture detection. The use of MRI influenced treatment plans in 67% of cases. Given these findings, we advocate for including a STIR MRI of the entire spine alongside CT scans in OVF cases, as it significantly enhances fracture detection and can alter treatment strategies.

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Section: Discussionmentioning

confidence: 99%

Enhancing Osteoporotic Vertebral Fracture Diagnosis and Treatment Planning: Comparing CT and STIR Sequence MRI

Viola,

Aslan,

Al-Smadi

et al. 2023

Preprint

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“…Die Diagnostik degenerativer Prozesse bildet heutzutage neben der Frakturdarstellung, die der CT mittlerweile ebenbürtig geworden ist, sowie dem Nachweis entzündlicher oder neoplastischer Veränderungen eine der Hauptindikationen zur lumbalen MRT [22,23]. (Modic-)Signalveränderungen der kartilaginären Endplatten und des angrenzenden Knochenmarks werden dabei relativ häufig beobachtet [9,14,16], wobei eine klare Assoziation zur degenerativen Bandscheibenerkrankung belegt wurde [10,13,24].…”

Section: Diskussionunclassified

(Modic-)Signalveränderungen vertebraler Endplatten und ihr Bezug zu einer minimalinvasiven Injektionstherapie lumbaler Bandscheibenvorfälle

Liphofer¹,

Theodoridis²,

Becker³

et al. 2006

Fortschr Röntgenstr

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1. Lumbar disc herniation is clearly associated with the prevalence of (Modic) signal alterations. 2. Extensive signal alterations tend to correlate with a negative outcome of an MIT using epidural injections. 3. Such SA in the central portion of the upper CEP correlate significantly with a negative treatment result. 4. The central portion of the upper CEP being extensively affected by (Modic) SA is a negative predictor for the success of a minimally invasive pain therapy.

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“…Darüber hinaus ist die Sensitivität für ossäre Läsionen bei der MRT hçher als bei der CT. Die MRT ist deshalb die wichtigste Methode zur Untersuchung akuter Rückenmarkverletzungen [3]. Obwohl die MRT der CT in der Diagnostik traumatischer Rü-ckenmarkverletzungen überlegen ist, wird sie häufig erst nach Tagen durchgeführt, weil der Patient zunächst oft intensivmedizinisch betreut wird.…”

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Hat die MRT in der Frühphase des spinalen Traumas klinische Relevanz? Eine experimentelle Studie

Freund²

2007

Fortschr Röntgenstr

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Vergleichende computertomographische und kernspintomographische Beurteilung von Wirbelsäulenverletzungen der BWS und LWS anhand der Magerl-Klassifikation

Abstract: Classification of spine injuries according to the Magerl-classification showed a significant agreement between CT and MRI and therefore a comparable evaluation of stability. MRI was superior in delineating ligamental lesions.

Cited by 9 publications

References 14 publications

Enhancing Osteoporotic Vertebral Fracture Diagnosis and Treatment Planning: Comparing CT and STIR Sequence MRI

Enhancing Osteoporotic Vertebral Fracture Diagnosis and Treatment Planning: Comparing CT and STIR Sequence MRI

(Modic-)Signalveränderungen vertebraler Endplatten und ihr Bezug zu einer minimalinvasiven Injektionstherapie lumbaler Bandscheibenvorfälle

Hat die MRT in der Frühphase des spinalen Traumas klinische Relevanz? Eine experimentelle Studie

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