Article Sidebar
Views PDF: 719
Evaluating the imaging characteristics of thoracic - lumbar spine injury according to the tlics classification
Main Article Content
Abstract
SUMMARY
The study was carried out with the purpose of evaluating the visual characteristics of the thoracolumbar spine injury according to the TLICS classification (The Thoracolumbar Injury Classification and Severity Score). From
September 2016 to July 2017, at Viet Duc hospital, 80 patients with thoracolumbar spinal injury had been diagnosed using CT scanner and MRI, as well as receiving treatment at the hospital. The result was that 43 patients received
preservative treatment, and 37 patients were operated upon, 14 of whom had TLICS < 4 point. With the use of MRI for evaluating PLC (posterior ligamentous complex), in comparision with post-operative results, the aforementioned methods showedthe sensitivity level of 96% and the specificity level of 100%.
Article Details
Keywords
thoracolumbar Injury, TLICS Classification, ligamentous complex
References
1. Ngô Tuấn Tùng, Đánh giá kết quả phẫu thuật chấn thương cột sống đoạn bản lề ngực – thắt lưng mất vững tại bệnh viện Hữu nghị Việt Đức, in Luận văn thạc sỹ Y học. 2015, Đại học Y Hà Nội: Hà Nội. p. 88.
2. Alpantaki, K., et al., Thoracolumbar burst fractures: a systematic review of management. Orthopedics, 2010. 33(6): p. 422-429.
3. Vaccaro, A.R., et al., A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine, 2005. 30(20): p. 2325-2333.
4. Denis, F., The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. spine, 1983. 8(8): p. 817-831.
5. Magerl, F., et al., A comprehensive classification of thoracic and lumbar injuries. European Spine Journal, 1994. 3(4): p. 184-201.
6. Vaccaro, A.R., et al., The thoracolumbar injury severity score: a proposed treatment algorithm. Clinical Spine Surgery, 2005. 18(3): p. 209-215.
7. Harris, M.B., et al., Modeling of the naked facet sign in the thoracolumbar spine. Clinical Spine Surgery, 2001. 14(3): p. 252-258.
8. Choi, H.J., et al., Applicability of thoracolumbar injury classification and severity score to criteria of Korean
health insurance review and assessment service in treatment decision of thoracolumbar injury. Journal of Korean Neurosurgical Society, 2015. 57(3): p. 174.
9. Joaquim, A.F., et al., Clinical results of patients with thoracolumbar spine trauma treated according to the Thoracolumbar Injury Classification and Severity Score: Clinical article. Journal of neurosurgery: Spine, 2014.
20(5): p. 562-567.
10. McAFEE, P.C., H.A. Yuan, and N.A. Lasda, The unstable burst fracture. Spine, 1982. 7(4): p. 365-373.
11. Pizones, J., et al., Prospective analysis of magneticresonance imaging accuracy in diagnosing traumatic
injuries of the posterior ligamentous complex of the thoracolumbar spine. Spine, 2013. 38(9): p. 745-751.
12. Aguirre, E. Diagnostic accuracy of MRI in detecting posterior ligamentous complex injury in thoracolumbar
vertebral fractures. 2011. European Congress of Radiology 2011.
13. Haba, H., et al., Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. Journal of Neurosurgery: Spine, 2003. 99(1): p. 20-26.
14. Kumar, Y. and D. Hayashi, Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. BMC
musculoskeletal disorders, 2016. 17(1): p. 310.