Role of MRI in Post Traumatic Stable Vertebral Fracture to Diagnose Spinal Injury – A Cross Sectional Study
Authors/Creators
Description
Vertebral fracture can be caused by direct or indirect trauma and are more likely to occur in patients with decreased
bone density (osteoporosis, bony metastases). It aimed of studying characteristic imaging findings, to evaluate the role of
MRI in patients with post traumatic stable vertebral fracture. All patients with history of post trauma were subjected to go for
MRI examination. As MRI is the investigation of choice for soft tissue and spinal cord injuries. To ascertain the role of MRI
in diagnosis of the spinal cord injury in cases of post traumatic stable vertebral fracture. It is a Hospital based Cross sectional
study. A total of 119 Cases of spinal trauma who underwent MRI of the spine are included in the study. The Study was
conducted in department of radiology over the duration of 18 months. All detailed history of patients was taken. The study
has been done using 1.5 TESLA Siemens. Out of 119 cases, majority of the cases were >60 yr with male predominance. Blunt
trauma [45 cases (37.8%)] was most common cause of injury among the cases and cervical spine [14 cases (28%)] was most
common sites. MRI findings helped in detecting in spinal cord injury and soft tissue injury [50 cases (42%)]. Most common
MRI findings were spinal canal Stenosis [73 cases (61.3%)], marrow edema [51 cases (42.9%)], spinal cord injury [50 cases
(40.0%)], pre & paravertebral collection [14 cases (11.8%)], and IVD injury [5 cases (4.2%)]. Being a non-
invasive procedure with high specificity and sensitivity, MRI is a preferred diagnostic tool to assess spinal cord injuries.
Files
1.pdf
Files
(924.3 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:6d5714e5ef316448e1c6fc955aeafa01
|
924.3 kB | Preview Download |
Additional details
References
- 1. Melton LJ . Epidemiology of Spinal Osteoporosis. 3rd, Spine (Phila Pa 1976) 1997;22(24 Suppl): 2S–11S. 2. Lenchik L, Rogers LF, Delmas PD, Genant HK. Diagnosis of vertebral osteoporotic fractures: importance of recognition and description by radiologists. AJR Am J Roentgenol. 2004;183(4): 949–958. 3. Tsou PM, Wang J, Khoo L, Shamie AN, Holly L. A thoracic and lumbar spine injury severity classification based on neurologic function grade, spinal canal deformity, and spinal biomechanical stability. Spine J. 2006;6(6):636–647. 4. Rahman ML, Haque ME, Zaman MS, Arafat MY, Alam MI. Management of Spinal Injury: Experience in Rajshahi Medical College Hospital. TAJ J Teach Assoc. 2011;15(1):25–27. doi:10.3329/ taj.v15i1. 8377. 5. Nagvekar R, Nagvekar P. Low tesla MRI in acute spinal injuries: a study in a teaching hospital. Int J Adv Med. 2017;4(1):108–111. doi:10.18203/2349- 3933.ijam20163995. 6. Lenehan B, Boran S, Street J, Higgins T, McCormack D, Poynton AR. Demographics of acute admissions to a National Spinal Injuries Unit. E u r S p i n e J . 2 0 0 9 ; 1 8 ( 7 ) : 9 3 8 – 9 4 2 . doi:10.1007/s00586-009-0923-y. 7. Hossain SI, Khundkar SH. Bacteriological Status of Pressure Sore - A Study of 50 Cases. Bangladesh J Plast Surg. 2013;3(1):19–23. doi:10.3329/ bdjps.v3i1. 15002. 8. Goel SA, Modi HN, Dave BR, Patel PR, Patel R. Socio-Economic Impact of Cervical Spinal Cord Injury Operated in Patients with Lower Income Group. Glob Spine J. 2016;6(1): s- 0036-1582921-s- 0036-1582921. doi:10.1055/s-0036-1582921. 9. Ullrich PM, Jensen MP, Loeser JD, Cardenas DD. Pain intensity, pain interference and characteristics of spinal cord injury. Spinal Cord. 2008;46(6): 451–455. doi:10.1038/sc.2008.5. 10. Gupta N, Solomon JM, Raja K. Demographic characteristics of individuals with paraplegia in India – A survey. Indian J Physiother Occup Ther - An Int J. 2008;2: 24– 27. 11. Flanders AE, Schaefer DM, Doan HT, Mishkin MM, Gonzalez CF, Northrup BE. Acute cervical spine trauma: correlation of MR imaging findings with degree of neurologic deficit. Radiology. 1990;177(1):25–33. doi:10.1148/ radiology. 177.1.2399326. 12. Rahman Z, Alam S, Goni M, Ahmed F, Tawhid A, Ahmed M. Demographic Profile of Spinal Cord Injury Patients Admitted in a Rehabilitation Centre: An Observational Study from Bangladesh. J Med Res Innov. 2018;2: e000111. doi:10.15419/jmri.111. 13. Hoque MF, Grangeon C, Reed K. Spinal cord lesions in Bangladesh: An epidemiological study 1994- 1995. Spinal Cord. 1999;37(12):858–861. doi:10.1038/sj.sc. 3100938. 14. Islam MS, Hafez MA, Akter M. Characterization of spinal cord lesion in patients attending a specialized rehabilitation center in Bangladesh. Spinal Cord. 2011;49: 783– 786. doi:10.1038/sc.2011.36. 15. Razzak ATMA, Helal SU, Nuri RP. Life Expectancy of Persons with Spinal Cord Injury (SCI) Treated in a Rehabilitation Centre at Dhaka, Bangladesh. Asia Pacific Disabil Rehabil J. 2011;22: 114–123. doi:10.5463/DCID.v22i2.34. 16. Moshi H, Sundelin G, Sahlen KG, Sörlin A. Traumatic spinal cord injury in the north- east Tanzania – describing incidence, etiology and clinical outcomes retrospectively. Glob Health Action. 2017;10(1): 1355604. doi:10.1080/
- 16549716.2017. 1355604. 17. Ning GZ, Mu ZP, Shangguan L, Tang Yu, Li CQ, Zhang ZF, et al. Epidemiological features of traumatic spinal cord injury in Chongqing, China. J S p i n a l C o r d M e d . 2 0 1 6 ; 3 9 ( 4 ) : 4 5 5 – 4 6 0 . doi:10.1080/ 10790268. 2015.1101982. 18. Bajracharya S, Singh M, Singh G, Shrestha B. Clinico-epidemiological study of spinal injuries in a predominantly rural population of eastern Nepal: A 10 years' analysis. Indian J Orthop. 2007;41(4): 286–289. doi:10.4103/0019-5413.36988. Muzalda RS, et al: Role of MRI in Post Traumatic Stable Vertebral Fracture to Diagnose Spinal Injury – A Cross Sectional Study 19. Lieutaud T, Ndiaye A, Frost F, Chiron M. A 10-year population survey of spinal trauma and spinal cord injuries after road accidents in the Rhône area. J Neurotrauma. 2010;27(6):1101–1107. doi:10.1089/ neu. 2009.1197. 20. Naik BR, Sakalecha AK, Savagave SG. Evaluation of traumatic spine by magnetic resonance imaging and its correlation with cliniconeurological outcome. J Emerg Trauma Shock. 2019;12(2): 101–107. doi:10.4103/ JETS.JETS_110_18.