caa a22 4500 445834684 CHVBK 20180317145327.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00586-011-1913-4 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1913-4 Impact of magnetic resonance imaging on decision making for thoracolumbar traumatic fracture diagnosis and treatment [Elektronische Daten] [Javier Pizones, Enrique Izquierdo, Patricia Álvarez, Felisa Sánchez-Mariscal, Lorenzo Zúñiga, Paloma Chimeno, Ester Benza, Ernesto Castillo] Introduction: The role of magnetic resonance imaging (MRI) has recently been enhanced in the diagnosis of thoracolumbar fractures due to its ability to examine soft tissue injury. Material and methods: We conducted a prospective study to analyze the usefulness of MRI in fracture diagnosis and its influence on treatment decision making. Thirty-three patients were enrolled after suffering an acute traumatic thoracolumbar fracture. Osteoporotic or pathologic fractures were excluded. Fractures were initially classified using X-ray and CT scan following the AO classification. Afterward, a selective MRI protocol was performed with T1 and T2-weighted FS/STIR sequences. Subsequently, fractures were classified according to the TLICS system and reclassified following the AO system. Analysis was performed before and after MRI, focusing on: diagnostic changes, occult fractures and differences in treatment decision making. Results: Thirty patients (15 males, 15 females) with an average age of 39.9years were studied. Forty-one fractures were initially diagnosed using plain X-rays and CT scans, while MRI diagnosed 50 fractures and 9 vertebral contusions. MRI modified our diagnosis in 40% of our patients (discovering 18 occult injuries), the classification of fracture pattern in 24% of the fractures (mostly upgrading type A to type B patterns) and the therapeutic management in 16% of our patients. Conclusions: MRI seems to be a useful tool in the evaluation of thoracolumbar acute fractures, as it allows a better visualization of the posterior complex integrity and of the levels involved, offering additional information compared to traditional diagnostic tools. Springer-Verlag, 2011 Thoracolumbar fractures nationallicence Vertebral fracture diagnosis nationallicence MRI examination nationallicence Posterior ligamentous complex nationallicence MRI decision making nationallicence Classification nationallicence Pizones Javier Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut Izquierdo Enrique Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut Álvarez Patricia Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut Sánchez-Mariscal Felisa Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut Zúñiga Lorenzo Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut Chimeno Paloma Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut Benza Ester Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut Castillo Ernesto Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut European Spine Journal Springer-Verlag 20(2011-08-01), 390-396 0940-6719 20<390 2011 20 586 https://doi.org/10.1007/s00586-011-1913-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1913-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pizones Javier Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut NATIONALLICENCE 700 1- Izquierdo Enrique Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut NATIONALLICENCE 700 1- Álvarez Patricia Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut NATIONALLICENCE 700 1- Sánchez-Mariscal Felisa Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut NATIONALLICENCE 700 1- Zúñiga Lorenzo Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario de Getafe, Carretera de Toledo Km. 12.5, 28905, Madrid, Spain aut NATIONALLICENCE 700 1- Chimeno Paloma Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut NATIONALLICENCE 700 1- Benza Ester Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut NATIONALLICENCE 700 1- Castillo Ernesto Musculoskeletal Unit, Department of Radiology, Hospital Universitario de Getafe, Madrid, Spain aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-08-01), 390-396 0940-6719 20<390 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer