CT扫描在脊柱爆裂性骨折稳定性诊断中的价值

The value of CT in bursting fracture and stability of vertebral column

目的:探讨CT扫描对脊柱爆裂性骨折稳定性的价值。方法:对42例爆裂骨折CT表现进行回顾性分析。结果:CT诊断单纯性稳定型骨折14例,粉碎性不稳定型骨折28例,共计55个椎体。结论:CT扫描能准确、多方位显示骨折的信息,特别是利用SCT的多方位重建技术,对诊断、判定脊柱失稳,推测脊髓神经损伤情况、精确分类具有十分重要的价值。

Objective:To evaluate the value of CT in bursting fracture and stability of vertebral column.Methods:CT features of 42cases with bursting fracture of vertebral column were analyzed retrospectively.Re sults:Fourteen simple stable fracture and28comminuted unstable fractures were diagnosed by CT,altogether55vertebral bodies were involved.Con clu-sion:CT,especially SCT with multiplanar reconstruction,can accurately showed the information of the fracture,moreover it plays an important role in diagnosing,evaluating the stability of vertebral column and assessing the injury of the vertebral nerves.