Imaging features of spinal fractures in ankylosing spondylitis and the diagnostic value of different imaging methods
Imaging features of spinal fractures in ankylosing spondylitis and the diagnostic value of different imaging methods
复制标题
强直性脊柱炎脊柱骨折的影像学特征及不同影像学方法的诊断价值
DOI：
10.21037/qims-20-962
复制
发表时间：
2021-06-01
影响因子：
2.8
通讯作者：
Yuan, Huishu
中科院分区：
文献类型：
--
作者：
Ren, Cui;Zhu, Qiao;Yuan, Huishu
背景资料：我们的研究旨在描述强直性脊柱炎（AS）脊柱骨折的影像学表现，并确定在何种情况下使用磁共振成像（MRI）是necessary.Methods：共70例脊柱骨折与AS回顾性入组。两名放射科医生独立审查术前图像。位置，类型，韧带损伤，神经损伤，硬膜外血肿后，脊柱fractures.Results：只有1例患者有椎体压缩性骨折，69例患者有77个横向骨折涉及三柱进行了评估。AS患者中最常见的损伤是B3型脊柱骨折（N=32，43.8%），其次是C型脊柱骨折（N= 20，27.4%）。脊柱不同部位骨折类型差异有显著性（H= 14.1，P
Background: Our study aimed to characterize the imaging appearance of spinal fractures in ankylosing spondylitis (AS) and identify situations in which the use of magnetic resonance imaging (MRI) is necessary.Methods: A total of 70 cases of spinal fractures associated with AS were retrospectively enrolled. Two radiologists independently reviewed the preoperative images. The location, type, ligament injury, neurological injury, and epidural hematoma following spinal fractures were assessed.Results: Only one patient had a vertebral compression fracture, and 69 patients had 77 transverse fractures involving three columns. The most frequent injuries in AS patients were type B3 (N=32, 43.8%) spine fractures, followed by type C (N= 20, 27.4%) spine fractures. There were significant differences in fracture types of the different spine regions (H=14.1, P