MULTIDETECTOR COMPUTED TOMOGRAPHY OF SPINAL AND PELVIC FRACTURES with special reference to polytrauma patients
نویسندگان
چکیده
................................................................................................................................. 1 LIST OF ORIGINAL PUBLICATIONS ......................................................................................... 4 ABBREVIATIONS ........................................................................................................................ 5 INTRODUCTION .......................................................................................................................... 7 REVIEW OF THE LITERATURE ............................................................................................... 10 HIGH-ENERGY TRAUMA ............................................................................................................. 10 General considerations ...................................................................................................... 10 Level I trauma centers ....................................................................................................... 10 ANATOMICAL CONSIDERATIONS ................................................................................................. 11 The spine ........................................................................................................................... 11 Vertebrae ........................................................................................................................... 13 Intervertebral disks ............................................................................................................ 13 The pelvis .......................................................................................................................... 14 The acetabulum ................................................................................................................. 14 VERTEBRAL FRACTURES ........................................................................................................... 15 General considerations and classification ......................................................................... 15 Burst fracture ..................................................................................................................... 17 Compression fracture ........................................................................................................ 18 Posterior column fractures ................................................................................................. 18 Other fractures ................................................................................................................... 19 PELVIC FRACTURES .................................................................................................................. 21 General considerations and classification ......................................................................... 21 IMAGING OPTIONS ..................................................................................................................... 24 General considerations ...................................................................................................... 24 Computed tomography ...................................................................................................... 25 Iodine contrast media ........................................................................................................ 28 Radiography ...................................................................................................................... 29 Magnetic resonance imaging ............................................................................................. 31 Ultrasound ......................................................................................................................... 31 AIMS OF THE STUDY ............................................................................................................... 33 MATERIAL AND METHODS ..................................................................................................... 34 PATIENTS ................................................................................................................................. 34 General .............................................................................................................................. 34 Falling accidents (I) ............................................................................................................ 34 Pelvic trauma (II) ................................................................................................................ 35 Burst fractures (III) and (IV) ............................................................................................... 35 Sports and recreational accidents (V) ................................................................................ 35 METHODS ................................................................................................................................ 36 General .............................................................................................................................. 36 Falling accidents (I) ............................................................................................................ 38 Pelvic trauma (II) ................................................................................................................ 38 Burst fractures distribution and incidence (III) ................................................................... 39 Burst fractures measurements (IV) .................................................................................... 39 Sports and recreational accidents (V) ................................................................................ 40 RESULTS ................................................................................................................................... 41 General .............................................................................................................................. 41 Falling accidents (I) ............................................................................................................ 41 Pelvic trauma (II) ................................................................................................................ 42 Incidence of Burst Fractures (III) ....................................................................................... 43 Burst fractures measurements (IV) .................................................................................... 45 Sports and recreational accidents (V) ................................................................................ 46 DISCUSSION ............................................................................................................................. 50 General .............................................................................................................................. 50 Falling accidents (I) ............................................................................................................ 51 Pelvic trauma (II) ................................................................................................................ 53 Burst fractures incidence (III) ............................................................................................. 55 Burst fracture measurements (IV) ...................................................................................... 57 Sports and recreational accidents (V) ................................................................................ 60 CONCLUSIONS ......................................................................................................................... 63 Falling accidents (I) ............................................................................................................ 63 Pelvic trauma (II) ................................................................................................................ 63 Incidence of burst fractures (III) ......................................................................................... 63 Burst fracture measurements (IV) ...................................................................................... 63 Sports and recreational accidents (V) ................................................................................ 64 ACKNOWLEDGEMENTS .......................................................................................................... 65 REFERENCES ........................................................................................................................... 67 ORIGINAL PUBLICATIONS ...................................................................................................... 78
منابع مشابه
Three‐dimensional scanning with dual‐source computed tomography in patients with acute skeletal trauma
OBJECTIVE The aim of this study was to compare the efficiency of multiplanar reformatted images and three-dimensional images created after multidetector computed tomography examination in detecting acute posttraumatic osseous pathology of the skeletal system. METHOD Between October 2006 and December 2008, 105 patients with a history of acute trauma were referred to our service. Patients were ...
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