Trauma-related injuries of the pelvis and spine- Does multidetector-row CT increase diagnostic accuracy?
نویسندگان
چکیده
Objective: To evaluate different multidetector-row CT (MDCT) strategies for adequate classification of spinal and pelvic injuries. Material and Methods: 70 consecutive patients after severe blunt trauma underwent conventional radiography and MDCT. Examinations included the pelvis (P; n=40), the lumbar (LS; n=24) and the thoracic spine (TS: n= 21). All data were analyzed by two independent observers, using the AO-classification for thoracolumbar injuries and the classification according to Tile for pelvic injuries. Conventional radiographs (CR), 3 mm scans (CT5), 5 mm scans (CT3) and 3 mm scans combined with multiplanar reformations (CT-MPR) were compared with surgical and autopsy results or clinical development. The Chi 2-test, Cross tables, Cohens's Kappa and the Spearman correlation were used for statistics.
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