J Korean Radiol Soc.  1990 Apr;26(2):395-401. 10.3348/jkrs.1990.26.2.395.

CT analysis of the traumatic spinal fracture

• Kook SH
• Yoo JH
• Lee MS
• Rhee CS

• KMID: 2358960
• DOI: http://doi.org/10.3348/jkrs.1990.26.2.395

Abstract

The accurate diagnosis of spine fracture is important to the therapeutic decision and clinical course ofpatieht. CT was more sensitive than amy other modality in the diagnosis of spine trauma and now, CT is the methodof choiice for preoperative evaluation in spine fracture. A retrospective review was maade of CT scans of 49 spinefracture patients, who were admitted at Ewha Womens University Hospital from Jan. 1096 to Dec. 1988 The resultswere as follows: 1. Male to female ratio was 2.5:1, and the most prevalent age was 20 to 50 years. 2. Multiplelevel injuries were 12 cases (24.5%), and the most common cause of injury was falling down (22 cases, 44.9%). 3.The frequent site of spine fracture was T11 to L4 level and the most common site was the 1st lumber vertebra (13cases, 23.2%). 4.Simple compression fracture was in 11 cases (19.6%), and burst fracture was in 45 cases (80.4%).Neurologic symptoms were appeared in 23 cases (15.1%) of burst fracture. 5. The most common pattern of theretropulsed fragment in burst fracture was single midline fragment type (19 cases, 42.2%) and the most common typeof burst fracture was classical from (19 cases, 42.2%). 6. The degree of anterior wedging above the 50% in heightof vertebra was in 10 cases (17.9%). 7. Posterior element involvement of vertebra was seen in 34 cases (60.7%) andthe most common finding was lamina fracture. 8. Degree of spinal canal narrowing and degree of neurologicalimpairment is not directly correlated.

MeSH Terms

Accidental Falls
Diagnosis
Female
Fractures, Compression
Humans
Male
Retrospective Studies
Spinal Canal
Spinal Fractures*
Spine
Tomography, X-Ray Computed