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影像学在胸腰椎爆裂骨折诊断与治疗中的作用:当前概念及文献综述

The role of imaging in the diagnosis and management of thoracolumbar burst fractures: current concepts and a review of the literature.

作者信息

Saifuddin A, Noordeen H, Taylor B A, Bayley I

机构信息

Department of Radiology, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK.

出版信息

Skeletal Radiol. 1996 Oct;25(7):603-13. doi: 10.1007/s002560050145.

DOI:10.1007/s002560050145
PMID:8915042
Abstract

The burst fracture of the spine was first described by Holdsworth in 1963 and redefined by Denis in 1983 as being a fracture of the anterior and middle columns of the spine with or without an associated posterior column fracture. This injury has received much attention in the literature as regards its radiological diagnosis and also its clinical management. The purpose of this article is to review the way that imaging has been used both to diagnose the injury and to guide management. Current concepts of the stability of this fracture are presented and our experience in the use of magnetic resonance imaging in deciding treatment options is discussed.

摘要

脊柱爆裂骨折最早由霍尔兹沃思于1963年描述,1983年丹尼斯重新定义为脊柱前柱和中柱骨折,伴或不伴有相关的后柱骨折。这种损伤在影像学诊断和临床治疗方面在文献中受到了广泛关注。本文的目的是回顾影像学在诊断损伤和指导治疗方面的应用方式。介绍了这种骨折稳定性的当前概念,并讨论了我们在使用磁共振成像决定治疗方案方面的经验。

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