ArticleGlobal spine journal2024
How Often Would MRI Change the Thoracolumbar Fracture Classification or Decision-Making Compared to CT Alone?
Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Effects of thoracolumbar fracture combined with muscle injury on long-term outcome and prognosis: a retrospective study.BMC surgery · 2026Article
- Risk factors for intravertebral cleft in acute vertebral fractures and its relationship with bone cement leakage after vertebroplasty.Quantitative imaging in medicine and surgery · 2026Article
- Reliability of thoracolumbar burst fracture classification in the Swedish Fracture Register.BMC musculoskeletal disorders · 2024Article
- The Influence of Comminution and Posterior Ligamentous Complex Integrity on Treatment Decision Making in Thoracolumbar Burst Fractures Without Neurologic Deficit?Global spine journal · 2024Article
- Expert Opinion, Real-World Classification, and Decision-Making in Thoracolumbar Burst Fractures Without Neurologic Deficits?Global spine journal · 2024Article
- Review
- Inter-observational analysis of computed tomography parameters to predict nonobvious posterior ligament complex injury in neurologically intact patients with thoracolumbar trauma.Brain & spine · 2024Article
- Response to Letter to the Editor.International journal of spine surgery · 2023Article
- Regarding "Incidence and Associated Factors for Kyphosis Progression in Short-Segment Fixation Thoracolumbar Spine Fractures" by Kongtush Choovongkomol et al.International journal of spine surgery · 2023Article
- Thoracolumbar spine trauma: a guide for the FRCS examination.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- A Proposal for a Standardized Imaging Algorithm to Improve the Accuracy and Reliability for the Diagnosis of Thoracolumbar Posterior Ligamentous Complex Injury in Computed Tomography and Magnetic Resonance Imaging.Global spine journal · 2023Article
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5 authors.
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Abstract
STUDY
designretrospective study of consecutive patients.
objectiveto analyze the frequency of change in Thoracolumbar fractures (TLFs) classification or decision-making after MRI compared by CT alone.
methodsA retrospective review of 244 consecutive patients with acute TLFs (T1-L5) presented to a single level 1 trauma center between 2014 and 2021. Three and 4 reviewers independently classified all fractures according to AOSpine and AOSpine injury severity score (TLAOSIS) by CT then MRI, respectively. Posterior ligamentous complex Injury (PLC) was diagnosed on CT and MRI by ≥ 2 positive CT findings and Black stripe discontinuity.
resultsMRI changed AO classification in 25/244 patients (10.2%,
conclusionusing appropriate CT/MRI criteria for PLC injury, MRI changed the AOSpine classification by 10% and TLAOSIS based treatment by 19.7%. The best predictors of fracture reclassification by MRI were the number of positive CT findings and fracture level.
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