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DR and CT diagnosis of multiple fractures in the thoracic joint application

And reconstruction, to observe whether the thoracic fractures of burst fracture. Spinal burst fracture of objective diagnostic criteria are: ① injury involving the three columns of the two columns or two columns or more. ② bone narrow spinal deformation. ⑨ fracture dislocation and / or more serious after the sudden deformity l2]. According to the diagnostic criteria, 39 patients in this group of fractures in the thoracic spine burst fracture in 6 cases, 6 cases of burst fracture of the DR and CT scans were analyzed 3 cases of varying degrees of significant neurological symptoms, and control DR radiograph PVBL lines showed less smooth, even light into a corner. Smoothness worse, into the angle the greater the pressure on the spinal canal contents of the more severe the damage, the more obvious neurological symptoms. 2 cases involving the three-column thoracic fracture, although the structure, but spinal stenosis is 0 degrees, the lateral line in the x-chip PVBL still smooth continuous line. So traumatic spinal fractures DR radiograph PVBL line is not smooth, the estimates of unstable burst fractures of significance, the observation of PVBL line in the diagnosis of spinal fractures should be emphasized that the conduct of clinical management before CT scan special attention and care tips to avoid nerve damage and complications increase [. 3.2DR multiple fractures and chest CT examination of the complementary role of DR as a means of basic examination of thoracic injury, inexpensive, diagnostic accuracy is high, receiving x ray less. But also for the rib fractures, vertebral compression, dislocation,[link widoczny dla zalogowanych], more than the number of vertebral fractures can be clearly demonstrated. But overlapping rib fractures and / or occult fracture, vertebral compression slightly, hidden,[link widoczny dla zalogowanych], are prone to misdiagnosis in this group, 16 patients in the ribs overlap, the shift was not obvious rib fractures were a total of 35 fractures were missed by CT scan + redevelopment could clearly shows the fracture line; 1 case of DR only see a mild vertebral compression change, and CT scan were detected in the adjacent vertebral fracture line; have only seen 2 cases of vertebral fractures, DR, and CT scan also found that the transverse fracture. DR difficult to demonstrate overlapping parts of thoracic fractures, including rib overlap, duplication of the ribs and thoracic vertebra, thoracic spine fractures as well as the rear of the chest, spinal canal stenosis, spinal instability of burst fractures of the judge is difficult to determine, only smoothness of the line through the PCBL speculated that this group of 39 patients with thoracic spine fracture line is not smooth by PVBL suspected unstable burst fracture in 3 cases, while CT scan detected in 4 cases + rebuilt unstable burst fracture. CT scanning + reconstruction clearly shows that overlapping parts of thoracic fractures, including rib overlap, duplication of the ribs and thoracic vertebra, thoracic spine fractures as well as the rear of the three-column thoracic spine fractures anatomy and fracture alignment (coronal to the vertical to, horizontal), bone fragments and shifting the display piece, vertebral fractures and spinal stenosis facet joint degree. CT scanning + reconstruction showing the characteristic performance, fully observe the whole sequence of the thorax; the right to determine the stability of thoracic fractures,[link widoczny dla zalogowanych], including sternal fractures, multiple rib fractures after the collapse of the thorax, swelling, shortening, and tilt, thoracic spine fracture stability of the spinal cord compression damage, with or without complications, a comprehensive understanding of fracture, extent, minor changes, the clinical treatment. 8O cases of DR and CT scan imaging method for the two multiple fractures in the thoracic imaging diagnosis of a comprehensive analysis, I believe that both DR and CT scan imaging methods have multiple fractures in the thoracic characteristic value. DR can be used as one of the most basic screening, and CT scan three-dimensional reconstruction for multi-angle observation of chest, you can one-stop diagnosis of multiple fractures, so the injury is clinically suspected multiple thoracic fractures,[link widoczny dla zalogowanych], CT scanning should be a direct line + re-examination, reduced patient examination time, but also can increase the potential of the combined injury of thoracic trauma awareness and diagnosis.
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