Is magnetic resonance imaging needed for decision making diagnosis and treatment of thoracic and lumbar vertebral fractures?

Autor:	Hatice Tuzlali, Mehmet Hakan İlter, Altuğ Durmaz
Rok vydání:	2021
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Radiography Magnetic resonance imaging Computed tomography Radiological examination Lumbar Treatment plan medicine Orthopedics and Sports Medicine Surgery Observational study Radiology Ao classification business
Zdroj:	European Journal of Orthopaedic Surgery & Traumatology. 33:107-115
ISSN:	1432-1068
DOI:	10.1007/s00590-021-03165-z
Popis:	The radiological examination including plain radiography, CT and MRI are critical to assess the severity of the instability, to diagnose the fracture type and to select the appropriate treatment strategy for the thoracic and lumbar vertebral fractures. The aim of this prospective observational study was to investigate the effect of magnetic resonance imaging (MRI) on decision making for the diagnosis and treatment of acute thoracic and lumbar vertebral fractures. Consecutive 180 patients with acute thoracic and/or lumbar vertebral fractures were included in the study. The fracture pattern was evaluated by using initial radiographs, computed tomography (CT) and MRI within 24 h of trauma. Fractures were classified according to AO classification before and after MRI. TLICS classification was also used to decide treatment plan. MRI findings were compared to surgical findings in the surgically treated patients. A significant moderate agreement was found between Xray + CT and post-MRI classifications for all fracture types (Kappa = 0.511; p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc97dc31cd04d2d818280e22c9961995 https://doi.org/10.1007/s00590-021-03165-z Zobrazit plný text záznamu Full text from SpringerLink