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CT scan prediction of neurological deficit in thoracolumbar burst fractures

1992; British Editorial Society of Bone & Joint Surgery; Volume: 74-B; Issue: 5 Linguagem: Inglês

10.1302/0301-620x.74b5.1527112

2044-5377

W. P. J. Fontijne, LW de Klerk, R. Braakman, Theo Stijnen, HL Tanghe, R Steenbeek, Bert van Linge,

Medical Imaging and Analysis

In 139 patients with burst fractures of the thoracic, thoracolumbar or lumbar spine, the least sagittal diameter of the spinal canal at the level of injury was measured by computerised tomography. By multiple logistic regression we investigated the joint correlation of the level of the burst fracture and the percentage of spinal canal stenosis with the probability of an associated neurological deficit. There was a very significant correlation between neurological deficit and the percentage of spinal canal stenosis; the higher the level of injury the greater was the probability. The severity of neurological deficit could not be predicted.