Clinical role of radiography for thoracic spine fractures in daily practice in the MDCT era

A retrospective review of 255 trauma patients

Tsutomu Inaoka, Kenjirou Ohashi, Georges Y. El-Khoury, Harnoor Singh, Kevin S. Berbaum

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose To retrospectively assess the diagnostic efficacy of radiography in detecting vertebral body fractures of the thoracic spine compared with MDCT, to assess the confounding factors reducing the diagnostic efficacy, and to investigate the outcomes of radiographically overlooked patients. Materials and methods Two hundred fifty-five patients suspected of thoracic spine fractures were enrolled. We assessed the diagnostic efficacy of radiography for the patients sub-grouped based on five confounding factors: chest abnormalities, head injuries, cervical spine fractures, upper extremity injuries, and age of 65 years or older. We investigated the outcomes of radiographically overlooked patients. Results Three hundred fifty-one vertebral body fractures were detected. The per-fracture sensitivities and specificities were 55 %and 94 %for vertebral body fractures and 41 and 99 %for unstable fractures. In patients with upper extremity injuries or aged 65 years or older, radiography was less sensitive in detecting the unstable fractures (P\0.05). Nineteen patients were overlooked by radiography; two had neurological deficits and needed surgical fixation; 15 with no neurological deficit were conservatively treated with uneventful outcomes. Conclusion Radiography had low sensitivity but high specificity. In daily practice, primary use of MDCT is beneficial for patients with neurological deficit or upper extremity injuries or elderly patients.

Original languageEnglish (US)
Pages (from-to)617-623
Number of pages7
JournalJapanese Journal of Radiology
Volume30
Issue number8
DOIs
StatePublished - Oct 2012
Externally publishedYes

Fingerprint

Thoracic Radiography
Spine
Radiography
Wounds and Injuries
Upper Extremity
Thorax
Sensitivity and Specificity
Craniocerebral Trauma

Keywords

  • Fracture
  • MDCT
  • Radiography
  • Thoracic spine
  • Trauma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Clinical role of radiography for thoracic spine fractures in daily practice in the MDCT era : A retrospective review of 255 trauma patients. / Inaoka, Tsutomu; Ohashi, Kenjirou; El-Khoury, Georges Y.; Singh, Harnoor; Berbaum, Kevin S.

In: Japanese Journal of Radiology, Vol. 30, No. 8, 10.2012, p. 617-623.

Research output: Contribution to journalArticle

Inaoka, Tsutomu ; Ohashi, Kenjirou ; El-Khoury, Georges Y. ; Singh, Harnoor ; Berbaum, Kevin S. / Clinical role of radiography for thoracic spine fractures in daily practice in the MDCT era : A retrospective review of 255 trauma patients. In: Japanese Journal of Radiology. 2012 ; Vol. 30, No. 8. pp. 617-623.
@article{5abb0452d5b34615861f1878f1e99bbd,
title = "Clinical role of radiography for thoracic spine fractures in daily practice in the MDCT era: A retrospective review of 255 trauma patients",
abstract = "Purpose To retrospectively assess the diagnostic efficacy of radiography in detecting vertebral body fractures of the thoracic spine compared with MDCT, to assess the confounding factors reducing the diagnostic efficacy, and to investigate the outcomes of radiographically overlooked patients. Materials and methods Two hundred fifty-five patients suspected of thoracic spine fractures were enrolled. We assessed the diagnostic efficacy of radiography for the patients sub-grouped based on five confounding factors: chest abnormalities, head injuries, cervical spine fractures, upper extremity injuries, and age of 65 years or older. We investigated the outcomes of radiographically overlooked patients. Results Three hundred fifty-one vertebral body fractures were detected. The per-fracture sensitivities and specificities were 55 {\%}and 94 {\%}for vertebral body fractures and 41 and 99 {\%}for unstable fractures. In patients with upper extremity injuries or aged 65 years or older, radiography was less sensitive in detecting the unstable fractures (P\0.05). Nineteen patients were overlooked by radiography; two had neurological deficits and needed surgical fixation; 15 with no neurological deficit were conservatively treated with uneventful outcomes. Conclusion Radiography had low sensitivity but high specificity. In daily practice, primary use of MDCT is beneficial for patients with neurological deficit or upper extremity injuries or elderly patients.",
keywords = "Fracture, MDCT, Radiography, Thoracic spine, Trauma",
author = "Tsutomu Inaoka and Kenjirou Ohashi and El-Khoury, {Georges Y.} and Harnoor Singh and Berbaum, {Kevin S.}",
year = "2012",
month = "10",
doi = "10.1007/s11604-012-0097-0",
language = "English (US)",
volume = "30",
pages = "617--623",
journal = "Japanese Journal of Radiology",
issn = "1867-1071",
publisher = "Springer Japan",
number = "8",

}

TY - JOUR

T1 - Clinical role of radiography for thoracic spine fractures in daily practice in the MDCT era

T2 - A retrospective review of 255 trauma patients

AU - Inaoka, Tsutomu

AU - Ohashi, Kenjirou

AU - El-Khoury, Georges Y.

AU - Singh, Harnoor

AU - Berbaum, Kevin S.

PY - 2012/10

Y1 - 2012/10

N2 - Purpose To retrospectively assess the diagnostic efficacy of radiography in detecting vertebral body fractures of the thoracic spine compared with MDCT, to assess the confounding factors reducing the diagnostic efficacy, and to investigate the outcomes of radiographically overlooked patients. Materials and methods Two hundred fifty-five patients suspected of thoracic spine fractures were enrolled. We assessed the diagnostic efficacy of radiography for the patients sub-grouped based on five confounding factors: chest abnormalities, head injuries, cervical spine fractures, upper extremity injuries, and age of 65 years or older. We investigated the outcomes of radiographically overlooked patients. Results Three hundred fifty-one vertebral body fractures were detected. The per-fracture sensitivities and specificities were 55 %and 94 %for vertebral body fractures and 41 and 99 %for unstable fractures. In patients with upper extremity injuries or aged 65 years or older, radiography was less sensitive in detecting the unstable fractures (P\0.05). Nineteen patients were overlooked by radiography; two had neurological deficits and needed surgical fixation; 15 with no neurological deficit were conservatively treated with uneventful outcomes. Conclusion Radiography had low sensitivity but high specificity. In daily practice, primary use of MDCT is beneficial for patients with neurological deficit or upper extremity injuries or elderly patients.

AB - Purpose To retrospectively assess the diagnostic efficacy of radiography in detecting vertebral body fractures of the thoracic spine compared with MDCT, to assess the confounding factors reducing the diagnostic efficacy, and to investigate the outcomes of radiographically overlooked patients. Materials and methods Two hundred fifty-five patients suspected of thoracic spine fractures were enrolled. We assessed the diagnostic efficacy of radiography for the patients sub-grouped based on five confounding factors: chest abnormalities, head injuries, cervical spine fractures, upper extremity injuries, and age of 65 years or older. We investigated the outcomes of radiographically overlooked patients. Results Three hundred fifty-one vertebral body fractures were detected. The per-fracture sensitivities and specificities were 55 %and 94 %for vertebral body fractures and 41 and 99 %for unstable fractures. In patients with upper extremity injuries or aged 65 years or older, radiography was less sensitive in detecting the unstable fractures (P\0.05). Nineteen patients were overlooked by radiography; two had neurological deficits and needed surgical fixation; 15 with no neurological deficit were conservatively treated with uneventful outcomes. Conclusion Radiography had low sensitivity but high specificity. In daily practice, primary use of MDCT is beneficial for patients with neurological deficit or upper extremity injuries or elderly patients.

KW - Fracture

KW - MDCT

KW - Radiography

KW - Thoracic spine

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=84869102579&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869102579&partnerID=8YFLogxK

U2 - 10.1007/s11604-012-0097-0

DO - 10.1007/s11604-012-0097-0

M3 - Article

VL - 30

SP - 617

EP - 623

JO - Japanese Journal of Radiology

JF - Japanese Journal of Radiology

SN - 1867-1071

IS - 8

ER -