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CT扫描对齿状突骨折的假阳性诊断

False-positive diagnosis of an odontoid fracture by CT scan.

作者信息

Sutterlin C E, Gutentag I, Martinez C R, Rechtine G R

机构信息

University of South Florida, Tampa.

出版信息

J Orthop Trauma. 1989;3(4):348-51. doi: 10.1097/00005131-198912000-00016.

Abstract

Although computed tomography (CT) is a valuable tool for evaluating spine trauma, it's usefulness is limited. Horizontally oriented fractures of the cervical spine, particularly type 2 fractures at the base of the odontoid process, may be difficult to detect with CT. Our case report illustrates a false-positive diagnosis of this fracture and suggests that conventional polytomography is superior to CT for demonstrating this particular lesion when minimal displacement is present.

摘要

尽管计算机断层扫描(CT)是评估脊柱创伤的一种有价值的工具,但其作用是有限的。颈椎水平方向的骨折,尤其是齿状突基部的2型骨折,用CT可能难以检测到。我们的病例报告说明了这种骨折的假阳性诊断,并表明当存在最小移位时,传统的断层摄影术在显示这种特殊病变方面优于CT。

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