J Korean Med Sci.  1995 Jun;10(3):189-194. 10.3346/jkms.1995.10.3.189.

Sequential changes of traumatic vertebral compression fracture on MR imaging

• Sung MS
• Lee SH
• Lee JM
• Jung HJ
• Yim JI
• Kim YS
• Shinn KS

• KMID: 1054343
• DOI: http://doi.org/10.3346/jkms.1995.10.3.189

Abstract

The purpose of this study was to evaluate the sequential signal intensity changes in post-traumatic vertebral compression fractures of varying ages. Sixty-six patients with 115 post-traumatic vertebral compression fractures underwent MR imaging. The ages of fractures at the time of MR images ranged from 1 day to 6 years. Sequential follow-up MR imagings were obtained in 4 patients for 2 years after initial MR examination. The fracture sites in all 52 fractures with traumatic events less than 3 months prior were hypointense on T1-weighted images and hyperintense on T2-weighted images (type I). A type I fracture could be subdivided into 3 patterns depending on its morphologic appearance: diffuse (type Ia); patchy (type Ib); and bandlike (type Ic). In 12 fractures of 3 to 5 months after trauma, six showed focal hypointensity (type II) in all pulse sequences, and six showed isointensity (type IV). Four of 51 fractures with trauma over 5 months showed focal hyperintensity on T1-weighted images and isointensity on T2-weighted images (type III); and the remaining 47 fractures showed isointensity on all sequences (type IV). In conclusion, MR imaging is useful in predicting the age of known traumatic compression fractures, so familiarity with these sequential MR findings would be helpful in distinguishing benign from malignant fractures.

Keyword

MR imaging; Spine; Compression fracture; Trauma

MeSH Terms

Adult
Aged
Female
Human
Lumbar Vertebrae/*injuries
*Magnetic Resonance Imaging
Male
Middle Age
Spinal Fractures/*diagnosis
Time Factors