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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 29 - 34 (6page)
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Study Design: Retrospective study. Purpose: To evaluate radiological parameters as indicators for posterior ligamentous complex (PLC) injuries in the case of limited availability of magnetic resonance imaging. Overview of Literature: Traumatic thoracolumbar spinal fractures with PLC injuries can be misdiagnosed on X-rays or computed tomography scans. This study aimed to retrospectively assess unrecognized PLC injuries and evaluate radiographic parameters as indicators of PLC injuries requiring surgery. Methods: In total, 314 patients with type A and type B2 fractures who underwent surgical treatment between 2001 and 2010 were included. The frequency of misdiagnosis was reassessed, and radiographic parameters were evaluated and correlated. Results: The average age of the patients was 51.8 years. There were 225 type A3/A4 and 89 type B2 fractures; 39 of the type B2 fractures (43.8%) had been misdiagnosed as type A fractures. Type B fractures presented with a significantly higher kyphotic wedge angle and Cobb angle and a lower sagittal index (SI) than type A fractures. In addition, the normalized interspinous distance was higher in type B2 fractures. The significant mathematical indicators for PLC injuries were as follows: Cobb angle+kyphotic wedge angle >29°; Cobb angle2 >170°; and vertebral angle/SI >25. Conclusions: The results demonstrated that PLC injuries are frequently misdiagnosed. Correlations between certain radiological parameters associated with PLC injuries can be useful indicators of the presence of such injuries requiring surgery.
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참고문헌 (20)
참고문헌 신청
Reinhold M / 2009 / Operative treatment of traumatic fractures of the thoracic and lumbar spinal column : part I : epidemiology / Unfallchirurg 112:33
Vaccaro AR / 2013 / AOSpine thoracolumbar spine injury classification system : fracture description, neurological status, and key modifiers / Spine(Phila Pa 1976) 38:2028~2037
Holdsworth F / 1970 / Fractures, dislocations, and fracturedislocations of the spine / J Bone Joint Surg Am 52:1534~1551
Magerl F / 1994 / A comprehensive classification of thoracic and lumbar injuries / Eur Spine J 3:184~201
Vaccaro AR / 2005 / A new classification of thoracolumbar injuries : the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status / Spine(Phila Pa 1976) 30:2325~2333
Vaccaro AR / 2013 / AOSpine thoracolumbar spine injury classification system : fracture description, neurological status, and key modifiers / Spine(Phila Pa 1976) 38:2028~2037
Holdsworth F / 1970 / Fractures, dislocations, and fracturedislocations of the spine / J Bone Joint Surg Am 52:1534~1551
Magerl F / 1994 / A comprehensive classification of thoracic and lumbar injuries / Eur Spine J 3:184~201
Vaccaro AR / 2005 / A new classification of thoracolumbar injuries : the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status / Spine(Phila Pa 1976) 30:2325~2333
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