戴力扬 第二军医大学附属长征医院骨科 上海 200003 骨与关节损伤杂志 1999 0 0 4


    关键词：脊柱骨折；诊断；胸椎；腰椎 期刊 gygjsszz 0 论著 fur -->


    

摘要 本文对114例120处胸腰椎爆裂性骨折进行回顾性分析。所有病例均摄胸腰椎X线片，94例行CT扫描，74例行MRI检查。结果共有27处骨折被误诊，占22 .5%。作者认为，X线片常不能准确反映爆裂性骨折的病理特征，对于胸腰椎骨折应常规行C T扫描，必要时应同时行MRI检查，诊断中应注意将爆裂性骨折与压缩性骨折相鉴别。

Diagnosis of Thoracolumbar Burst Fractures

Dai Liyang.

    Department of Orthopaedic Surgery，Changzheng Hospital ，Shanghai，200003.

Abstract One hundred and fourteen patients with 120 tho racolumbar burst fractures were retrospectively reviewed.Plain radiographs were available in all cases；CT scans and MRI were obtaines in 96 and 74 cases resp ectively.A total of 27 burst fractures were misdiagnosed as other types of frac tures and accounted for 22.5%.The results showed that plain radiographs often fail to delineate the pathological features of thoracolumbar burst fractures.I t suggested that CT should be routinely indicated and MRI examination ......