OBJECTIVE: To evaluate the influence of additional (MRI) compared with computed tomography (CT) alone for the classification of traumatic spinal injuries using the Arbeitsgemeinshaft für Osteosynthesefragen (AO) system and the Thoraco-Lumbar Injury Classification and Severity (TLICS) scale. MATERIALS AND METHODS: Images from 100 consecutive patients with at least one fracture on CT were evaluated retrospectively by three radiologists with regard to the AO and TLICS classification systems in 2 steps. First, all images from the initial CT examination were analyzed. Second, 6 weeks later, CT and MR images were analyzed together. Descriptive statistics and Wilcoxon tests were performed to identify changes in the number of fractures and ligamentous lesions detected and their corresponding classification. RESULTS: CT and MRI together revealed a total of 196 fractures (CT alone 162 fractures). The AO classification changed in 31 %, the TLICS classification changed in 33 % of the patients compared with CT alone. Based on CT and MRI together, the TLICS value changed from values <5 (indication for conservative therapy) to values ≥ 5 (indication for surgical therapy) in 24 %. CONCLUSION: MRI of patients with thoracolumbar spinal trauma considerably improved the detection of fractures and soft tissue injuries compared with CT alone and significantly changed the overall trauma classification.
OBJECTIVE: To evaluate the influence of additional (MRI) compared with computed tomography (CT) alone for the classification of traumatic spinal injuries using the Arbeitsgemeinshaft für Osteosynthesefragen (AO) system and the Thoraco-Lumbar Injury Classification and Severity (TLICS) scale. MATERIALS AND METHODS: Images from 100 consecutive patients with at least one fracture on CT were evaluated retrospectively by three radiologists with regard to the AO and TLICS classification systems in 2 steps. First, all images from the initial CT examination were analyzed. Second, 6 weeks later, CT and MR images were analyzed together. Descriptive statistics and Wilcoxon tests were performed to identify changes in the number of fractures and ligamentous lesions detected and their corresponding classification. RESULTS: CT and MRI together revealed a total of 196 fractures (CT alone 162 fractures). The AO classification changed in 31 %, the TLICS classification changed in 33 % of the patients compared with CT alone. Based on CT and MRI together, the TLICS value changed from values <5 (indication for conservative therapy) to values ≥ 5 (indication for surgical therapy) in 24 %. CONCLUSION: MRI of patients with thoracolumbar spinal trauma considerably improved the detection of fractures and soft tissue injuries compared with CT alone and significantly changed the overall trauma classification.
Authors: F C Oner; L M P Ramos; R K J Simmermacher; P T D Kingma; C H Diekerhof; W J A Dhert; A J Verbout Journal: Eur Spine J Date: 2002-01-29 Impact factor: 3.134
Authors: Jose J Diaz; Daniel C Cullinane; Daniel T Altman; Faran Bokhari; Joseph S Cheng; John Como; Oliver Gunter; Michele Holevar; Rebecca Jerome; Stanley J Kurek; Manuel Lorenzo; Vicente Mejia; Maurizio Miglietta; Patrick J O'Neill; Peter Rhee; Ronald Sing; Erik Streib; Steven Vaslef Journal: J Trauma Date: 2007-09
Authors: Fernando Ruiz Santiago; Pablo Tomás Muñoz; Elena Moya Sánchez; Marta Revelles Paniza; Alberto Martínez Martínez; Antonio Luis Pérez Abela Journal: Quant Imaging Med Surg Date: 2016-12
Authors: Bharti Khurana; Luciano M Prevedello; Christopher M Bono; Erwin Lin; Steven T McCormack; Hamdi Jimale; Mitchel B Harris; Aaron D Sodickson Journal: Eur Spine J Date: 2018-08-03 Impact factor: 3.134
Authors: Guen Young Lee; Joon Woo Lee; Seung Woo Choi; Hyun Jin Lim; Hye Young Sun; Yusuhn Kang; Jee Won Chai; Sujin Kim; Heung Sik Kang Journal: Korean J Radiol Date: 2015-07-01 Impact factor: 3.500